Korean J Urol.  2014 Nov;55(11):764-767. 10.4111/kju.2014.55.11.764.

Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction in Crossed Fused Ectopic Pelvic Kidney

• Muruganandham K
• Kumar A
• Kumar S

• KMID: 2069920
• DOI: http://doi.org/10.4111/kju.2014.55.11.764

Abstract

Crossed fused renal ectopia is a rare anomaly and may be associated with pelvic ureteric junction obstruction (PUJO). The L-shaped fusion variety is even rarer. We report such a case with a crossed fused ectopic pelvic kidney (L-type) with PUJO and its successful laparoscopic management. Through this report we emphasize the importance of adequate preoperative imaging and intraoperative details to avoid mishaps.

Keyword

Laparoscopy; Plastic surgery; Urogenital abnormalities

MeSH Terms

Adolescent
Female
Humans
Kidney/*abnormalities
Kidney Diseases/*complications/congenital/surgery
Kidney Pelvis/*surgery
Laparoscopy/*methods
Reconstructive Surgical Procedures/*methods
Ureter/*surgery
Ureteral Obstruction/etiology/*surgery
Urologic Surgical Procedures/methods

Figure

• 

  FIG. 1 Preoperative intravenous pyelogram images showing bilateral (B/L) pelvic kidneys overlying the sacrum, dilated left renal pelvis and contrast filled bladder.

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  FIG. 2 Preoperative contrast enhanced computed tomography scan showing crossed fused kidneys and hydronephrosis on left side.

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  FIG. 3 Computed tomography (CT) scan (A) and single-photon emission CT scan (B) showing crossed fused ectopic pelvic kidney with hydronephrosis on left side.

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  FIG. 4 Intraoperative view during laparoscopic pyeloplasty showing renal pelvis and adjacent pelvic organs.

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  FIG. 5 Pre (A) and post (B, at 3 months) laparoscopic pyeloplasty nuclear scan showing improvement in drainage.

Reference

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