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Case Reports
. 2007 Apr-Jun;11(2):258-60.

Laparoscopic transmesocolic pyelolithotomy in an ectopic pelvic kidney

Narmada P Gupta  1 , Rajiv Yadav, Ashutosh Singh
Affiliations
Case Reports

Laparoscopic transmesocolic pyelolithotomy in an ectopic pelvic kidney

Narmada P Gupta et al. JSLS. 2007 Apr-Jun.

Abstract

Management of large calculi in ectopic pelvic kidneys poses a challenge to the urologist. Risk of injury to surrounding abdominal viscera and vasculature makes open surgery as well as percutaneous nephrostolithotomy in an ectopic kidney a challenging procedure. Laparoscopic management avoids open surgery and associated morbidity and offers added safety. We report the management of symptomatic stones in a pelvic ectopic kidney lying anterior to the L5 vertebra and sacrum by transmesocolic laparoscopic pyelolithotomy in an 11-year-old child. Complete stone clearance was achieved with no complications and an uneventful postoperative recovery. The patient was discharged 72 hours after the surgery.

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Figures

Figure 1.
Figure 1.
Plain x-ray KUB showing a single stone on the right side (white arrow) at the level of the third lumber vertebra and 2 stones overlying the sacrum (black arrow).
Figure 2.
Figure 2.
X-ray KUB showing 2 calculi overlying the sacrum in the left ectopic pelvic kidney. Nephrostomy tube and double “J” in situ seen on the right side.
Figure 3.
Figure 3.
Intravenous urography showing an ectopic left pelvic kidney with the stone lying in the pelvis and the calyx.
Figure 4.
Figure 4.
Intraoperative photograph after pyelotomy. Stone being removed using laparoscopic right angle forceps.
See this image and copyright information in PMC

References

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