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  • Title: [Right ectopic hydronephrotic kidney with pelvic lithiasis. Report of a case].
    Author: Hermida Pérez JA, del Corral Suárez T, Cerdeiras Martínez G, Agùero Gómez JL, Machado V, Paneque Godefoy P.
    Journal: Arch Esp Urol; 1998 Apr; 51(3):289-93. PubMed ID: 9622923.
    Abstract:
    OBJECTIVE: To report a case of hydronephrotic ectopic kidney with lithiasis and pelvic localization, its diagnostic aspects and surgical treatment. METHODS/RESULTS: A 39-year-old male consulted at the emergency services for low abdominal pain. Physical examination disclosed a hypogastric mass. Patient evaluation by ultrasound, intravenous urography and pyelography revealed a right hydronephrotic ectopic kidney with lithiasis and pelvic localization. Nephrectomy via a right infraumbilical incision was performed. CONCLUSION: Pelvic renal ectopy is uncommon, but not rare in our area. This anomaly is associated with a higher than normal incidence of hydronephrosis and lithiasis. The diagnostic techniques most frequently used to evaluate these patients are ultrasound, intravenous urography, cystography and pyelography. When a surgical procedure is performed, the anatomical features of this anomalous condition should be considered, such as abnormal vascularization, pyelourethral anomalies, kidney rotation and absence of perirenal fat tissue.
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