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Case Report Volume 14 Issue 2
Complicated pelvic ectopic kidney with pyonephrosis leading to renal destruction: a case report and literature review
Ahemdi Chrive Ahmed, Moncef El Midaoui, Youssef Maachi, Babty Mouftah, Amine Slaoui, Tariq Karmouni, Abdellatif Koutani, Khalid El Khader
Received: June 15, 2026 | Published: July 14, 2026
Citation: Ahmed AC, Midaoui ME, Maachi Y, et al. Complicated pelvic ectopic kidney with pyonephrosis leading to renal destruction: a case report and literature review. Urol Nephrol Open Access J. 2026;14(2):57-58. DOI: 10.15406/unoaj.2026.14.00374
Abstract
Pelvic ectopic kidney (PEK) is a rare congenital anomaly resulting from failure of normal renal ascent during embryogenesis, with an incidence ranging from 1/500 to 1/12,000. 1 Although often asymptomatic, it may give rise to serious complications including infections, urolithiasis, and obstructive syndromes. We report the case of a 61-year-old man presenting with a destroyed left PEK secondary to recurrent episodes of pyonephrosis requiring repeated drainage procedures. Imaging revealed a large renal-pelvic mass with fatty components and macrocalcifications, along with locoregional infectious sequelae. Left nephrectomy was indicated. This case highlights the advanced forms of this condition and underscores the importance of early diagnosis and timely management.
Keywords: ectopic kidney, pelvic kidney, pyonephrosis, nephrectomy, destroyed kidney
©2026 Ahmed, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.