RT Journal Article
SR Electronic
T1 CT-guided percutaneous nephrostomy in an obstructed pelvic pancake kidney: a report of a novel transiliopsoas approach
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e232665
DO 10.1136/bcr-2019-232665
VO 12
IS 12
A1 Baby, Akhil
A1 Kesav, Praveen
A1 Kumar, Pawan
A1 Madhusudhan, Kumble Seetharama
YR 2019
UL http://casereports.bmj.com/content/12/12/e232665.abstract
AB Pancake kidney is a rare renal fusion anomaly with increased risk of complications, such as stone disease and infections, due to altered urodynamics. Image-guided (ultrasonography and fluoroscopy) percutaneous nephrostomy (PCN) is performed to decompress an obstructed pancake kidney. However, routine image guidance may be unable to provide a suitable access in complex clinical scenarios. The approach for PCN in a low-lying fused kidney is difficult due to a limited safe posterior retroperitoneal paraspinal route, and anterior transperitoneal approach poses risks of urine leak and peritonitis. We report a case of an obstructed pancake kidney managed by CT-guided PCN through a transiliopsoas approach.