Left Ectopic Pelvic Kidney With Calculi In Five Calyces With Long Infundibulum Opening In Small Pelvis With Pelviureteric Junction Obstruction: A Rare Case

Abstract

Pelvic-ureteric junction obstruction (PUJO) affects urine flow from the renal pelvis to the ureter and is sometimes associated with calculus disease, pyelonephritis or renal failure. PUJO affects 1 in 20,000 people per year and can be caused by congenital or acquired factors. Surgery is recommended for PUJO when symptoms or complications are present. Ectopic kidneys, which fail to ascend from the pelvis to the renal fossa, can lead to hydronephrosis, reflux, PUJO, and nephrolithiasis. We report a case of a 35-year-old female with a left ectopic kidney with PUJO with calculi which was managed by open pyelolithotomy with pyeloplasty. The patient had no surgical history or comorbidity. CT scans suggested a left-sided ectopic pelvic kidney with anteriorly facing pelvis, hydronephrosis, and multiple calculi. Even though congenital anomalies are rare, urologists might get such patients in day-to-day practice who may require surgical management. The patient can be given complete stone clearance and symptom improvements through adequate imaging and appropriate planning.