The most common form of renal ectopy is pelvic
kidney and treating stone disease and achieving
complete stone clearance in such anatomical anomaly
is difficult. We report a case of patient with pain in left
iliac fossa and evaluation revealed left pelvic kidney
with multiple renal calculi. We describe the successful
management of calculi with laparoscopic assisted
Percutaneous Nephrolithotomy (PCNL) in an ectopic
pelvic kidney, stressing that this method is minimally
invasive therapeutic option in ectopic nephrolithiasis
requiring precision and expertise as it is a technically
challenging and complex endourological procedure
and rarely performed