Open pyelolithotomy in an ectopic kidney: A case report
Richman Patandung1, Fauriski Febrian Prapiska2, Dhirajaya Dharma Kadar2
1Department of Urology, Faculty of Medicine Universitas Indonesia, Haji Adam Malik Hospital, Medan, Indonesia.
Urology Case Reports
|December 28, 2020
Summary
Renal ectopia with stones presents a surgical challenge. Open pyelolithotomy successfully removed large stones from an ectopic kidney, offering a viable treatment option.
Area of Science:
- Urology
- Nephrology
- Surgical Innovation
Background:
- Renal ectopia, a rare congenital anomaly, complicates kidney stone management.
- Treating stones in ectopic kidneys requires tailored surgical approaches.
Observation:
- A 48-year-old male presented with chronic right flank pain.
- CT urography confirmed right-crossed renal ectopia with large stones (25x20 mm and 10x10 mm) at the right ureteropelvic junction.
Findings:
- Open pyelolithotomy was performed under general anesthesia.
- Complete removal of both ureteropelvic junction stones was achieved.
Implications:
- Open surgery is a feasible option for complex kidney stones in ectopic kidneys.
- This case highlights successful management of a rare urological condition.
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