Year: 2024
Type: article
Study design: Case Report
Abstract: Ectopic kidneys though uncommon can be associated with other anomalies of the genitourinary system such as uretero-pelvic junction obstruction, vesicoureteral reflux and upper urinary tract abnormalities. These associations present surgical challenges in an ectopic kidney. We report the surgical management of a right ectopic kidney associated with uretero-pelvic junction obstruction and severe hydronephrosis. A 27-year-old male presented to Zenith Medical and Kidney Center in Abuja with complaints of recurrent, dull right flank pain of 1 year duration. Physical examination revealed a non-tender cystic mass extending from the right iliac fossa to the right hypochondrium. Abdominopelvic computed tomography revealed huge intraperitoneal non-enhancing hypodense ovoid cystic mass difficult to differentiate from the right ureter with severe intraperitoneal mass effect. Retrograde pyelogram done revealed right ectopic pelvic kidney with uretero-pelvic junction obstruction. The patient subsequently had right open Anderson-Hynes pyeloplasty. Intraoperative findings were right ectopic pelvic kidney with uretero-pelvic junction obstruction secondary to intrinsic narrowing at the junction and severe hydronephrosis. Postoperative recovery was uneventful with complete resolution of the presenting symptom. Ectopic kidneys can be associated with uretero-pelvic junction obstruction which presents diagnostic and surgical treatment challenges. Retrograde pyelography is an important radiological armamentarium for the proper diagnosis and subsequent treatment of this condition.
Source: KIDNEYS
Authors: U.E. Onwuasoanya, R.K. Agrawal, H.O. Ekwuazi, A. Adetunbi, P. Olorunfemi, O. Ozoh, W. Rex-ogbuku, I. Odunfa
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4402672567