**Nicolae Bacalbasa 1,2,3,**†**, Irina Balescu 4,\*, Mihaela Vilcu 1,5, Simona Dima 3, Camelia Diaconu 1,6,**†**, Laura Iliescu 1,7,**†**, Alexandru Filipescu 1,8,**† **and Iulian Brezean 1,5**


Received: 26 November 2019; Accepted: 10 January 2020; Published: 15 January 2020

**Abstract:** *Introduction*: Extended pelvic resection might be the option of choice in patients presenting locally advanced cervical cancer. However, the possibility of a co-existence of an ectopic, pelvic kidney that is invaded by such a tumor is extremely rare. *Case Presentation*: A 54-year-old female patient, diagnosed with locally advanced cervical cancer in the presence of a pelvic kidney, was submitted to surgery with curative intent. A large, abscessed cervical tumor invading the urinary bladder and the rectum was found, so a total exenteration was planned. Intraoperatively, tumor invasion of the left kidney, which was found in an ectopic, pelvic position was also encountered; therefore, total pelvic exenteration in association with a left nephrectomy was successfully performed. *Conclusions:* The presence of an ectopic, pelvic disposition of the kidney makes it susceptible to be invaded by locally advanced pelvic tumors; in such cases, a nephrectomy might also be needed.

**Keywords:** ectopic kidney; locally advanced cervical cancer; nephrectomy
