Open Pyelolithotomy in a Pelvic Ectopic Kidney: Case Report and Current Literature Review

Suharjendro Hadisuryo; Ewaldo Hadi; Aria Danurdoro

doi:10.3889/oamjms.2021.7748

Authors

Suharjendro Hadisuryo Department of Urology, West Nusa Tenggara Province General Hospital, Mataram, West Nusa Tenggara, Indonesia
Ewaldo Hadi Department of Urology, West Nusa Tenggara Province General Hospital, Mataram, West Nusa Tenggara, Indonesia https://orcid.org/0000-0003-4984-0097
Aria Danurdoro Department of Surgery, Division of Urology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta, Indonesia https://orcid.org/0000-0001-8349-7945

DOI:

https://doi.org/10.3889/oamjms.2021.7748

Keywords:

Nephrolitiasis, Ectopic kidney, Pyelolithotomy

Abstract

BACKGROUND: Advances in urology have significantly reduced the indications for open surgery to treat staghorn kidney stones. Nevertheless, according to our experience, open surgery is still the preferred treatment for rare cases of the ectopic pelvic kidney.

CASE PRESENTATION: A 49-year-old man complained about pain in the lower umbilical region for five months. The pain drastically changed into a sharp pain two months before. The vital sign is normal; on physical examination, the palpation of the suprapubic area elicits pain when pressed, no mass is detected. The abdominal computed tomography without contrast showed a right ectopic kidney located anteriorly of the fifth lumbar to the second sacrum. There was also mild hydronephrosis (grade I) and staghorn stones measuring 4 cm x 2.3 cm. The stone was surgically treated with open pyelolithotomy through a midline infra umbilical incision. The patient was discharged five days postoperatively without distinct complications.

CONCLUSION: Open surgery can represent a valid alternative in the treatment of kidney stones of very selected cases, including anomalous kidneys, in a setting where resources are limited.

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References

Arrieta MU, Trapote RA, Lizarraga DA. Renal position and fusion anomalies. An Pediatr (Barc). 2011;75(5):329-33. https://doi.org/10.1016/j.anpedi.2011.05.011 PMid:21724477 DOI: https://doi.org/10.1016/j.anpedi.2011.05.011

Alfaseh A, Ilaiwy A. RCC in cross ectopic kidney: A challenging diagnosis and management. BMJ Case Rep. 2018;2018:1-2. https://doi.org/10.1136/bcr-2018-226879 PMid:30297484 DOI: https://doi.org/10.1136/bcr-2018-226879

Zafar FS, Lingeman JE. Value of laparoscopy in the management of calculi complicating renal malformations. J Endourol. 1996;10(4):379-83. https://doi.org/10.1089/end.1996.10.379 PMid:8872739 DOI: https://doi.org/10.1089/end.1996.10.379

Yosypiv IV. Congenital anomalies of the kidney and urinary tract: A genetic disorder? Int J Nephrol. 2012;2012:909083. https://doi.org/10.1155/2012/909083 PMid:22685656 DOI: https://doi.org/10.1155/2012/909083

Li JK, Teoh JY, Ng CF. Updates in endourological management of urolithiasis. Int J Urol. 2019;26(2):172-83. https://doi.org/10.1111/iju.13885 PMid:30575154 DOI: https://doi.org/10.1111/iju.13885

Hruza M, Schulze M, Teber D, Gözen AS, Rassweiler JJ. Laparoscopic techniques for removal of renal and ureteral calculi. J Endourol. 2009;23(10):1713-8. https://doi.org/10.1089/end.2009.1539 PMid:19785553 DOI: https://doi.org/10.1089/end.2009.1539

Simforoosh N, Aminsharifi A. Laparoscopic management in stone disease. Curr Opin Urol. 2013;23(2):169-74. https://doi.org/10.1097/MOU.0b013e32835d307f PMid:23357934 DOI: https://doi.org/10.1097/MOU.0b013e32835d307f

Cinman NM, Okeke Z, Smith AD. Pelvic kidney: Associated diseases and treatment. J Endourol. 2007;21(8):836-42. https://doi.org/10.1089/end.2007.9945 PMid:17867938 DOI: https://doi.org/10.1089/end.2007.9945

Satav V, Sabale V, Pramanik P, Kanklia SP, Mhaske S. Percutaneous nephrolithotomy of horseshoe kidney: Our institutional experience. Urol Ann. 2018;10(3):258-62. https://doi.org/10.4103/ua.ua_152_17 PMid:30089983 DOI: https://doi.org/10.4103/UA.UA_152_17

Mosavi-Bahar SH, Amirzargar MA, Rahnavardi M, Moghaddam SM, Babbolhavaeji H, Amirhasani S. Percutaneous nephrolithotomy in patients with kidney malformations. J Endourol. 2007;21(5):520-4. https://doi.org/10.1089/end.2006.0349 PMid:17523906 DOI: https://doi.org/10.1089/end.2006.0349

Gupta NP, Mishra S, Seth A, Anand A. Percutaneous nephrolithotomy in abnormal kidneys: Single-center experience. Urology. 2009;73(4):710-4; discussion 714-5. https://doi.org/10.1016/j.urology.2008.10.070 PMid:19193423 DOI: https://doi.org/10.1016/j.urology.2008.10.070

Netto NJ, Lemos GC, Fiuza JL. Colon perforation following percutaneous nephrolithotomy. Urology. 1988;32(3):223-4. https://doi.org/10.1016/0090-4295(88)90388-3 PMid:3413914 DOI: https://doi.org/10.1016/0090-4295(88)90388-3

Goswami AK, Shrivastava P, Mukherjee A, Sharma SK. Management of colonic perforation during percutaneous nephrolithotomy in horseshoe kidney. J Endourol. 2001;15(10):989-91. https://doi.org/10.1089/089277901317203065 PMid:11789981 DOI: https://doi.org/10.1089/089277901317203065

Prakash G, Sinha RJ, Jhanwar A, Bansal A, Singh V. Outcome of percutaneous nephrolithotomy in anomalous kidney: Is it different? Urol Ann. 2017;9(1):23-6. https://doi.org/10.4103/0974-7796.198836 PMid:28216924 DOI: https://doi.org/10.4103/0974-7796.198836

di Franco CA, Burrello M, Guzzardi F, Intagliata E, Oxenius I, Galvagno L, et al. Management of a kidney stone in ectopic pelvic kidney with extracorporeal shockwave litothripsy: Description of a case and revision of literature. Arch Ital Urol Androl. 2020;92(2):109-11. https://doi.org/10.4081/aiua.2020.2.109 PMid:32597111 DOI: https://doi.org/10.4081/aiua.2020.2.109

Zhang W, Zhou T, Wu T, Gao X, Peng Y, Xu C, et al. Retrograde intrarenal surgery versus percutaneous nephrolithotomy versus extracorporeal shockwave lithotripsy for treatment of lower pole renal stones: A meta-analysis and systematic review. J Endourol. 2015;29(7):745-59. https://doi.org/10.1089/end.2014.0799 PMid:25531986 DOI: https://doi.org/10.1089/end.2014.0799

Patandung R, Prapiska FF, Kadar DD. Open pyelolithotomy in an ectopic kidney: A case report. Urol Case Rep. 2021;35:101528. https://doi.org/10.1016/j.eucr.2020.101528 PMid:33364173 DOI: https://doi.org/10.1016/j.eucr.2020.101528

El-Husseiny T, Buchholz N. The role of open stone surgery. Arab J Urol. 2012;10(3):284-8. https://doi.org/10.1016/j.aju.2012.03.004 PMid:26558038 DOI: https://doi.org/10.1016/j.aju.2012.03.004