3D-Laparoscopic transperitoneal pyelolithotomy in a rare case of pelvic cake kidney: case report and review of literature

Abstract

Abstract Background Bilateral ectopic pelvic kidneys are rarely observed, and cake form of fusion is a relatively distinct anomaly. With the presence of aberrant vasculature and risk of injuring surrounding viscera, conventional treatment of symptomatic calculi with percutaneous and retrograde approaches, become challenging for the urologist. 3D Laparoscopic approach is safe, reduces patient morbidity and avoids open surgery. Case presentation We herein report a case of 44-year-old female with symptomatic calculi in a pelvic cake kidney, which was adequately managed by 3D laparoscopic transperitoneal pyelolithotomy. Preoperatively, CT imaging and fluoroscopy were performed. The surgery lasted for 156 min, and complete stone clearance was achieved. Postoperative course was uneventful, and patient was discharged in 72 h. Conclusions 3D Laparoscopic pyelolithotomy is an acceptable and efficient treatment modality for symptomatic calculi in ectopic fused pelvic kidneys with a malrotated orientation.

Keywords

• Pelvic kidney
• 3D Laparoscopy
• Pyelolithotomy