Laparoscopy-Assisted Percutaneous Nephrolithotripsy (PCNL) in Ectopic Pelvic Kidney
Abdolsalam Ahmadi1, Ahmed A Al Rashed1, Sayed H Ebrahim1
1Urology, Salmaniya Medical Complex, Manama, BHR.
Cureus
|August 22, 2022
Summary
Ectopic kidneys increase risks for urinary tract issues. Laparoscopy-assisted percutaneous nephrolithotripsy (PCNL) offers a safe, minimally invasive solution for managing large stones in ectopic kidneys, ensuring quick recovery.
Area of Science:
- Nephrology
- Urology
- Minimally Invasive Surgery
Background:
- Ectopic kidney is a rare congenital anomaly with increased risks of urinary tract complications like nephrolithiasis.
- Patients with ectopic kidneys are more susceptible to conditions such as reflux, hydronephrosis, and renal failure.
Observation:
- A 43-year-old male with a known ectopic left pelvic kidney presented with chronic lower abdominal pain.
- Imaging revealed a large staghorn calculus in the ectopic kidney.
Findings:
- The patient successfully underwent laparoscopy-assisted percutaneous nephrolithotripsy (PCNL) for the staghorn stone.
- The procedure facilitated safe abdominal entry, precise stone removal, and protection of adjacent structures.
Implications:
- Laparoscopy-assisted PCNL is a feasible, safe, and minimally invasive option for treating large stones in ectopic kidneys.
- This technique allows for visual guidance during puncture and dilatation, enhancing patient safety and recovery.
- The procedure resulted in a rapid postoperative recovery, with discharge on day 3 without complications.
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