Laparoscopic pyeloplasty for ureteropelvic junction obstruction in crossed fused ectopic pelvic kidney.
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Crossed fused renal ectopia is a rare anomaly and may be associated with pelvic ureteric junction obstruction (PUJO).We report such a case with a crossed fused ectopic pelvic kidney (L-type) with PUJO and its successful laparoscopic management.Through this report we emphasize the importance of adequate preoperative imaging and intraoperative details to avoid mishaps.
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PubMed Central - PubMed
Affiliation: Department of Urology, JIPMER (Jawaharlal Institute of Postgraduate Medical Education & Research), Puducherry, India.
ABSTRACT
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Crossed fused renal ectopia is a rare anomaly and may be associated with pelvic ureteric junction obstruction (PUJO). The L-shaped fusion variety is even rarer. We report such a case with a crossed fused ectopic pelvic kidney (L-type) with PUJO and its successful laparoscopic management. Through this report we emphasize the importance of adequate preoperative imaging and intraoperative details to avoid mishaps. Related in: MedlinePlus |
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Figure 5: Pre (A) and post (B, at 3 months) laparoscopic pyeloplasty nuclear scan showing improvement in drainage. Mentions: The periurethral catheter was removed on the second postoperative day, followed by drain removal and discharge on the third postoperative day. The double J stent was removed after 6 weeks and a renal nuclear scan was done after 3 and 12 months, which revealed decreased hydronephrosis and improved clearance (Fig. 5). At the 18-month follow-up, the patient was asymptomatic and doing well. |
View Article: PubMed Central - PubMed
Affiliation: Department of Urology, JIPMER (Jawaharlal Institute of Postgraduate Medical Education & Research), Puducherry, India.