Purpose:
Concurrence of pelvic solitary kidney and rectal cancer is a rare phenomenon. The presence of the kidney in a narrow pelvic cavity represents a great challenge for total mesenteric excision (TME) under laparoscopy.
Methods:
We reported a male patient with low rectal cancer and incidental pelvic solitary kidney and reviewed relevant literature.
Results:
The patient was successfully treated with laparoscopic surgery and was discharged on day 6 postoperatively without severe complications.
Conclusion:
This case suggests the feasibility of laparoscopic TME with pelvic solitary kidney in a certain male patient with rectal cancer and emphasizes the importance of comprehensive preoperative radiological evaluation, a multidiscipline team, and careful intraoperative dissection.