Pyelolithotomy In Pelvic Ectopıic Kidney: Case Report

Case Report

Abstract

Introduction: Urinary system stone diseases are among the most common diseases in urology practice. Treatment methods are decided according to the size, location and number of the stone, but in rare diseases such as ectopic pelvic kidney, the decision must be made according to the kidney structure, vessels and stone. In this case report, the pyelolithotomy performed on the 29 mm stone of the patient with pelvic etopic kidney was tried to be explained in the light of the literature.

Case: A thirty-two-year-old male patient was diagnosed with a 29 mm stone in the right pelvic kidney and renal pelvis as a result of the examinations performed at the hospital where he complained of abdominal pain. With the subsequent examinations and preparations, the patient underwent a pyelolithotomy operation modified with appropriate steps for the pelvic kidney.

Discussion and Conclusion: ESWL, PNL, RIRS, laparoscopic surgery techniques can be applied in pelvic ectopic kidney. Studies have reported the success of ESWL as 54-81%, the success of PNL as 80%, and the success of laparoscopic and robotic surgeries as 80-100%. Although the success of minimally invasive methods is high, the stone burden is below two centimeters in most of these studies. Although open surgery seems to be the last choice, in this anomaly where the surgical technique is not fully determined and the approach is case-specific, open surgery should be considered and the technical approach and dissection steps should be determined.