Korean J Urol.  2006 Apr;47(4):446-448. 10.4111/kju.2006.47.4.446.

Laparoscopic Excision of a Huge Pelvic Kidney Associated with a Didelphic Uterus and a Single Urethral Ectopic Ureter: a Case Report with a Review of the Literature

• Park JM
• Ahn KI
• Lee SJ
• Jeon SH

• KMID: 1997159
• DOI: http://doi.org/10.4111/kju.2006.47.4.446

Abstract

A pelvic kidney with a didelphic uterus and a single ectopic ureter into the urethra is an extremely rare finding. We present here a case of a huge ectopic dysplastic kidney with a didelphic uterus and a single urethral ectopic ureter of a 32-year-old women who has been suffering from urinary incontinence. The huge ectopic dysplastic kidney was successfully removed by laparoscopic surgery. The patient became continent after operation.

Keyword

Ectopic tissue; Kidney; Laparoscopy; Nephrectomy; Urogenital abnormalities

MeSH Terms

Adult
Choristoma
Female
Humans
Kidney*
Laparoscopy
Nephrectomy
Ureter*
Urethra
Urinary Incontinence
Urogenital Abnormalities
Uterus*

Figure

• 

  Fig. 1 (A) Axial and (B) sagittal T2-weighted magnetic resonance imaging scans revealing a 5×13cm cystic mass (black arrow) between the two uterine bodies (white arrow).

• 

  Fig. 2 (A) Laparoscopic views showing the multilobulated ectopic dysplastic kidney (white arrow). (B) Photomicrograph showing the infrequent primitive glomeruloid tissues and diffuse fibrosis (H-E, ×40).

Reference

1. Ward JN, Nathanson B, Draper JW. The pelvic kidney. J Urol. 1965. 94:36–39.

2. Malek RS, Kelalis PP, Burke EC. Ectopic kidney in children and frequency of association of other malformations. Mayo Clin Proc. 1971. 46:461–467.

3. D'Alberton A, Reschini E, Ferrari N, Candiani P. Prevalence of urinary tract abnormalities in a large series of patients with uterovaginal atresia. J Urol. 1981. 126:623–624.

4. Verp MS, Simpson JL, Elias S, Carson SA, Sarto GE, Feingold M. Heritable aspects of uterine anomalies. I. Three familial aggregates with Mullerian fusion anomalies. Fertil Steril. 1983. 40:80–85.

5. Zurawin RK, Dietrich JE, Heard MJ, Edwards CL. Didelphic uterus and obstructed hemivagina with renal agenesis: case report and review of the literature. J Pediatr Adolesc Gynecol. 2004. 17:137–141.

6. Ahmed S, Barker A. Single-system ectopic ureters: a review of 12 cases. J Pediatr Surg. 1992. 27:491–496.

7. Li J, Hu T, Wang M, Jiang X, Chen S, Huang L. Single ureteral ectopia with congenital renal dysplasia. J Urol. 2003. 170:558–559.

8. Challacombe B, Kelleher C, Sami T, Scott H, Chandra A, O'Brien T, et al. Laparoscopic nephroureterectomy for adult incontinence caused by functioning ectopic pelvic kidney draining into vagina. J Endourol. 2004. 18:447–448.

9. Wang DS, Bird VG, Cooper CS, Austin JC, Winfield HN. Laparoscopic upper pole heminephrectomy for ectopic ureter: initial experience. Can J Urol. 2004. 11:2141–2145.

10. Shen CC, Wu MP, Kung FT, Huang FJ, Hsieh CH, Lan KC, et al. Major complications associated with laparoscopic- assisted vaginal hysterectomy: ten-year experience. J Am Assoc Gynecol Laparosc. 2003. 10:147–153.