Laparoscopic pyeloplasty in a solitary kidney.
BACKGROUND
A 40-year-old male presented with right-sided abdominal pain and no lower urinary tract symptoms. Examination was unremarkable, apart from mild right renal angle tenderness.


METHODS
Renal function, full blood count and C-reactive protein levels were all normal. Ultrasound of renal tract, abdominal computed tomography (CT) and (99m)Tc-mercaptoacetyltriglycine (MAG3) renogram confirmed ureteropelvic junction obstruction.


METHODS
The ureteropelvic junction obstruction of the right kidney was identified, with a crossing lower pole renal vessel as the possible cause. An absent left kidney was also noted.


RESULTS
Laparoscopic transperitoneal dismembered Anderson-Hynes pyeloplasty was performed, with posterior transposition of the crossing lower pole vessel.
Zafar
Nauman
N
Urology Department, Addenbrookes Hospital, Cambridge, UK.
Leyland
John
J
Shah
Nimish C
NC
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007677:Kidney Function Tests; D007682:Kidney Pelvis / Q000098:blood supply / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D015607:Stents; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000601:surgery*