Extracorporeal shock wave lithotripsy for a ureteral stone in crossed fused renal ectopia.
BACKGROUND
A 63-year-old woman presented with right flank pain and macroscopic hematuria.
A plain film showed a calcific shadow on the right iliac bone. On excretory urography, the right kidney was seen in the normal position, but the left kidney was not. Bilateral retrograde pyelogram revealed the S-shaped kidney and mild obstruction from a 12 x 5 mm calculus in the proximal ureter of the crossed kidney. The patient was successfully treated with in situ extracorporeal shock wave lithotripsy (ESWL) treatment and is stone free at 1 month follow up.


CONCLUSIONS
We believe this is the first case of successful ESWL in a crossed kidney.
Department of Urology, Tohoku University School of Medicine, Sendai, Japan. masanori@uro.med.tohoku.ac.jp
M
M
Kato
N
N
Ioritani
M
M
Aizawa
Y
Y
Inaba
R
R
Watanabe
S
S
Orikasa
D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008096:Lithotripsy; D008875:Middle Aged; D014514:Ureteral Calculi / Q000150:complications* / Q000628:therapy*