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Hydronephrosis caused by kidney malrotation.

Authors
  • Divjak, Natalie1
  • Birraux, Jacques2
  • Chehade, Hassib3
  • Sanchez, Oliver1
  • 1 Centre Universitaire Romand de Chirurgie Pédiatrique, Division of Pediatric Surgery of Lausanne, CHUV, Lausanne, Switzerland. , (Switzerland)
  • 2 Centre Universitaire Romand de Chirurgie Pédiatrique, Division of Pediatric Surgery of Geneva, HUG, Genève, Switzerland. , (Switzerland)
  • 3 Division of Pediatric Nephrology, Department Woman-Mother-Child, CHUV, Lausanne, Switzerland. , (Switzerland)
Type
Published Article
Journal
Urology Case Reports
Publisher
Elsevier BV
Publication Date
May 01, 2021
Volume
36
Pages
101564–101564
Identifiers
DOI: 10.1016/j.eucr.2021.101564
PMID: 33489770
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Hydronephrosis associated with kidney malrotation can be a surgical challenge. We present the case of a 3.5 y.o.-boy presenting with left pyelo-ureteric obstruction caused by kidney hyperrotation (270°) resulting in recurring urinary tract infection. After complete radiological work-up, we opted for a primary laparoscopic ureterocalicostomy, which allowed for complete resolution of the pelvic dilatation. Kidney malrotation can present with a wide variation in anatomic features. Radiological work-up is the cornerstone of surgical strategy planning. Laparoscopic ureterocalicostomy is a useful primary option in unusual anatomical situations. © 2021 Published by Elsevier Inc.

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