Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant

Authors

  • Michael L. Pianezza Royal Alexandra Hospital, Division of Urology, Department of Surgery, University of Alberta, Edmonton, Alta.
  • Eric P. Estey Royal Alexandra Hospital, Division of Urology, Department of Surgery, University of Alberta, Edmonton, Alta.

DOI:

https://doi.org/10.5489/cuaj.1053

Abstract

We report a case of a 41-year-old man with a solitary functioningleft kidney and history of chronic pelvic discomfort associatedwith lower urinary tract symptoms. Imaging revealed a largecystic structure in the pelvis attached to a dilated tortuous ureteron the right with congenital absence of the right kidney. The patientunderwent laparoscopic removal of the pelvic cyst and dilatedright ureter. Pathological assessment revealed mesonephric remnantsrepresenting dysplastic renal tissue attached to a dilated andobstructed megaureter, extending into the bladder wall and forminga large pelvic cyst. The patient’s symptoms resolved. A laparoscopicapproach represents an excellent surgical option for pelvicpathology.

Nous décrivons le cas d’un homme de 41 ans porteur d’un seulrein fonctionnel (gauche) et ayant des antécédents de douleurspelviennes chroniques liées à des symptômes affectant les voiesurinaires inférieures. Les épreuves d’imagerie ont révélé une massekystique volumineuse au niveau du pelvis, une dilatation et unesinuosité urétérales du côté droit et l’absence congénitale derein droit. Le patient a subi une ablation par laparoscopie du kystepelvien et de la section dilatée de l’uretère droit. L’évaluationpathologique a révélé des vestiges mésonéphriques constituésde tissu rénal dysplasique lié à un méga-uretère obstrué avec dilatationkystique se prolongeant dans la paroi vésicale et formant ainsiun kyste pelvien volumineux. Les symptômes du patient ont disparu.Une approche laparoscopique représente une excellenteoption chirurgicale en présence de pathologie pelvienne.

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How to Cite

Pianezza, M. L., & Estey, E. P. (2013). Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant. Canadian Urological Association Journal, 3(2), 159–62. https://doi.org/10.5489/cuaj.1053

Issue

Vol. 3 No. 2 (2009): CUAJ April

Section

Case Report

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