Stage II-B carcinoma of the cervix complicated by bilateral pelvic kidneys.
BACKGROUND
The simultaneous occurrence of advanced cervical cancer and a pelvic kidney is uncommonly reported. It is an interesting clinical problem because the pelvic kidney lies within the radiation field.


METHODS
A patient found to have bilateral pelvic kidneys and stage II-B cervical cancer underwent an anterior exenteration. This was complicated by urinary conduit leakage and eventual nephrectomy for hemorrhage. She has been followed for 14 months with normal renal function and no evidence of disease.


CONCLUSIONS
A primary surgical approach to stage II-B cervical carcinoma was offered to this patient because of bilateral pelvic kidneys. Anastomotic breakdown with urinary leakage after an ileal conduit remains a significantly morbid problem.
Roth
Ted M
TM
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, MS 39216, USA. TROTH@jam.rr.com
Woodring
Casey T
CT
McGehee
Ramon P
RP
D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008875:Middle Aged; D009367:Neoplasm Staging; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery