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Case Reports
. 2013 Jul;29(3):257-9.
doi: 10.4103/0970-1591.117267.

Microperc for the management of renal calculi in pelvic ectopic kidneys

Raguram Ganesamoni  1 , Ravindra B Sabnis, Shashikant Mishra, Mahesh R Desai
Affiliations
Case Reports

Microperc for the management of renal calculi in pelvic ectopic kidneys

Raguram Ganesamoni et al. Indian J Urol. 2013 Jul.

Abstract

Management of stone disease in an ectopic kidney is challenging. Laparoscopy or ultrasound guided percutaneous nephrolithotomy and retrograde intra-renal surgery are the preferred techniques for these stones. We performed ultrasound guided microperc using a 16 G needle for the management of renal calculi in pelvic ectopic kidneys in two patients. There was no intraoperative or post-operative complication. Both patients had complete stone clearance and were discharged on the first post-operative day. Ultrasound guided microperc is a safe and effective option for the management of small renal calculi in pelvic ectopic kidneys.

Keywords: Ectopic kidney; microperc; renal calculi.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) X-ray KUB showing renal calculus in pelvis of pelvic ectopic kidney with double J stent in situ, (b) Computed tomography urogram showing the pelvicalyceal system anatomy, (c) X-ray KUB showing renal calculus (yellow arrow) in ectopic kidney, (d) Computed tomography urogram showing the pelvicalyceal system anatomy (location of pelvic stone-yellow arrow; location of lower calyceal stone-red arrow)
Figure 2
Figure 2
(a) Surface view of patient position and ultrasound guided percutaneous renal access, (b) Intraoperative ultrasonography picture showing entry of puncture needle (yellow arrows) into lower calyx containing calculus (red arrow), (c) Confirmation of access into lower calyx by antegrade contrast study to delineate pelvicalyceal system, (d) Intraoperative surface view showing microperc instruments, (e) Puncture site at the end of the procedure (yellow arrow), (f) Post-operative X-ray KUB showing complete clearance
See this image and copyright information in PMC

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