Radical cystectomy in presence of fused "cake" kidney

Feasibility of robot‑assisted radical cystectomy in a patient with an ectopic kidney: A case report

An ectopic kidney is a rare congenital defect in which the kidney does not migrate to its normal anatomical position. In the present study, a robot-assisted radical cystectomy and intracorporeal urinary diversion were performed for a patient with an ectopic kidney. The present study describes the case of a 72-year-old male patient who was diagnosed with a bladder tumor by magnetic resonance imaging and cystoscopy. A transurethral resection of the bladder tumor was performed. The pathological examination revealed an invasive urothelial carcinoma. Contrast-enhanced computed tomography revealed an ectopic left kidney in the upper pelvis. A robot-assisted radical cystectomy, extended lymph node dissection and intracorporeal urinary diversion were performed. On the whole, as demonstrated herein, a robot-assisted radical cystectomy with intracorporeal urinary diversion is a feasible approach for muscle-invasive bladder cancer complicated by an ectopic kidney.

Radical cystectomy and lymphadenectomy to two patients with pelvic kidney: surgical pitfalls and considerations

Our goal is to describe our experience in the difficulties encountered during radical cystectomy for muscle invasive bladder cancer in patients with contemporary pelvic kidney. Two patients with muscle invasive bladder cancer and contemporary pelvic kidney were subjected to radical cystectomy and extended lymphadenectomy with conversion to an ileal pouch. In both cases, lymphadenectomy was the first step after entering the true pelvis. In order to proceed to the cystoprostatectomy, careful dissection of the ectopic renal vessels and proper mobilization of the kidney were performed. In both cases, an ileal pouch was our choice. The pelvic kidney is the most common sight of renal ectopia. The etiology is the aborted ascent of the fetal kidney from its initial position in the pelvis. This is the first case series describing radical cystectomy for muscle invasive urothelial carcinoma of the bladder in patients with a pelvic kidney.

Postradical cystectomy bowel perforation caused by a drainage tube: a case report

Introduction

Open drains are frequently placed in the abdominal cavity to prevent the collection of fluid or blood following major surgery.

Case presentation

We describe a case of perforation of the large bowel caused by the drain tube placed in a 74-year-old patient who had undergone radical cystectomy for invasive bladder cancer.

Radical cystectomy with extended lymphadenectomy in the presence of a pelvic kidney

The pelvic kidney represents the most common form of congenital renal ectopia. Because of its location, variable vasculature, and short ureteral length, the presence of a pelvic kidney in a patient undergoing radical cystectomy and pelvic lymphadenectomy creates unique technical challenges for the urologic surgeon. We describe a patient with a right pelvic kidney and invasive bladder cancer for whom radical cystectomy with extended pelvic iliac lymph node dissection and ileal conduit was performed.

Bilateral iliac artery aneurysms and pancake kidney: a case report

Renal fusion and ectopia are anomalies of the proximal urinary tract that present a special challenge to vascular surgeons. We present a rare case of bilateral iliac artery aneurysms in a 70-year-old man with a fused pancake kidney. The patient underwent preoperative evaluation with a computed tomographic scan and angiographic examination, followed by bilateral iliac artery reconstruction. Pancake kidney is a rare renal anomaly, and its association with aortoiliac disease has been referred to only one other time in the literature. Successful management is dependent on preoperative recognition of the renal anomaly, aortographic examination to delineate renal blood supply, and careful operative preservation of renal vasculature.