Multidisciplinary management of a complex case of renal cell carcinoma arising in a pelvic kidney

The incidence of ectopic kidney is 1 in 2100-3000 autopsies. Renal cell cancer (RCC) in pelvic kidney is a rare entity with limited case reports available in the literature. Symptoms can vary from abdominal pain to haematuria, or RCC can be detected incidentally. Contrast imaging with computed tomography (CT) angiography is recommended to determine the location of the renal mass and the anatomy of surrounding organs and major vessels feeding it. Treatment of choice is radcal nephrectomy. We report a case of RCC in ectopic pekiic kidney managed with radical nephrectomy that was deemed unresectable on CT imaging.