Cargando…

Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage

Anomalous kidneys are mostly asymptomatic and are often found incidentally during physical or radiological investigations for urological or other medical complaints. The associated genital anomalies ranges from 15% to 45%. Females are associated with bicornuate or unicornuate uterus, rudimentary or...

Descripción completa

Detalles Bibliográficos
Autores principales: Kalathia, Jaisukh, Agrawal, Santosh, Chipde, Saurabh S., Agrawal, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4839250/
https://www.ncbi.nlm.nih.gov/pubmed/27141203
http://dx.doi.org/10.4103/0974-7796.177198
_version_ 1782428118699474944
author Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh S.
Agrawal, Rajeev
author_facet Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh S.
Agrawal, Rajeev
author_sort Kalathia, Jaisukh
collection PubMed
description Anomalous kidneys are mostly asymptomatic and are often found incidentally during physical or radiological investigations for urological or other medical complaints. The associated genital anomalies ranges from 15% to 45%. Females are associated with bicornuate or unicornuate uterus, rudimentary or absent uterus while males have undescended testes, duplication of the urethra, and hypospadias. A 21 year old married female presented with on and off lower abdomen pain for the past one year with history of primary amenorrhea. On examination an ill defined tender lump palpated in the lower abdomen. USG showed left ectopic pelvic kidney with gross hydronephrosis. The computed tomography confirmed hydronephrotic left ectopic pelvic kidney in front of the sacrum with anteriorly directed renal pelvis with ureter located posteriorly. There was delayed excretion from the ectopic kidney but right kidney was in normal position and function. The diethylene triamine pentaacetic acid (DTPA) scan showed 33% function of the ectopic kidney. On diagnostic laparoscopy, the uterus was small hypoplastic with bilateral ovaries appearing normal. The patient was taken for open pyeloplasty where the ureter was transected below PUJ but for a dependent drainage, the middle calyx as was the most dependent calyx as seen on the CT-scan. So a middle calyx ureterocalicostomy was performed calyx with excellent outcome. The ectopic kidney always remains a challenge because of complex neurovascular anatomy, presence of viscera and associated UPJO, but for a dependent drainage, middle calyx ureterocalicostomy is a feasible option with excellent outcome as was in our case.
format Online
Article
Text
id pubmed-4839250
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-48392502016-05-02 Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage Kalathia, Jaisukh Agrawal, Santosh Chipde, Saurabh S. Agrawal, Rajeev Urol Ann Case Report Anomalous kidneys are mostly asymptomatic and are often found incidentally during physical or radiological investigations for urological or other medical complaints. The associated genital anomalies ranges from 15% to 45%. Females are associated with bicornuate or unicornuate uterus, rudimentary or absent uterus while males have undescended testes, duplication of the urethra, and hypospadias. A 21 year old married female presented with on and off lower abdomen pain for the past one year with history of primary amenorrhea. On examination an ill defined tender lump palpated in the lower abdomen. USG showed left ectopic pelvic kidney with gross hydronephrosis. The computed tomography confirmed hydronephrotic left ectopic pelvic kidney in front of the sacrum with anteriorly directed renal pelvis with ureter located posteriorly. There was delayed excretion from the ectopic kidney but right kidney was in normal position and function. The diethylene triamine pentaacetic acid (DTPA) scan showed 33% function of the ectopic kidney. On diagnostic laparoscopy, the uterus was small hypoplastic with bilateral ovaries appearing normal. The patient was taken for open pyeloplasty where the ureter was transected below PUJ but for a dependent drainage, the middle calyx as was the most dependent calyx as seen on the CT-scan. So a middle calyx ureterocalicostomy was performed calyx with excellent outcome. The ectopic kidney always remains a challenge because of complex neurovascular anatomy, presence of viscera and associated UPJO, but for a dependent drainage, middle calyx ureterocalicostomy is a feasible option with excellent outcome as was in our case. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4839250/ /pubmed/27141203 http://dx.doi.org/10.4103/0974-7796.177198 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh S.
Agrawal, Rajeev
Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title_full Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title_fullStr Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title_full_unstemmed Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title_short Middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: Only alternative for renal salvage
title_sort middle calyx ureterocalicostomy in ectopic pelvic kidney with ureteropelvic junction obstruction: only alternative for renal salvage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4839250/
https://www.ncbi.nlm.nih.gov/pubmed/27141203
http://dx.doi.org/10.4103/0974-7796.177198
work_keys_str_mv AT kalathiajaisukh middlecalyxureterocalicostomyinectopicpelvickidneywithureteropelvicjunctionobstructiononlyalternativeforrenalsalvage
AT agrawalsantosh middlecalyxureterocalicostomyinectopicpelvickidneywithureteropelvicjunctionobstructiononlyalternativeforrenalsalvage
AT chipdesaurabhs middlecalyxureterocalicostomyinectopicpelvickidneywithureteropelvicjunctionobstructiononlyalternativeforrenalsalvage
AT agrawalrajeev middlecalyxureterocalicostomyinectopicpelvickidneywithureteropelvicjunctionobstructiononlyalternativeforrenalsalvage