Best strategy in managing the association of Horse-shoe-Kidney and Abdominal Aortic Aneurysm: Case report.

Autor: Bounssir, Ayoub, Bakkali, Tarik, Taghi, Houda, Sefiani, Yasser, Lekehal, Brahim
Zdroj: International Journal of Surgery Case Reports; 2020, Vol. 75, p11-15, 5p
Abstrakt: • Most common renal anomalies. • Rare association of Horse-Shoe-kidney and Abdominal aortic aneurysm. • Special challenge in managing this pathology given the close spatial relationship. • Frequent renal arterial variation. • Surgery or endovascular treatment. Horseshoe Kidney (HSK) is probably the most common of all renal fusion abnormalities. However the association of Abdominal aortic aneurism (AAA) and HSK is rare, and occurred in 0,12% of patient affected by AAA. We present a patient with the concomitant presence of AAA and HSK treated by open surgical repair with a transperitoneal approach without section of the isthmus with great outcomes after surgery. The management of AAA associated with HSK presents a special challenge during vascular surgery, given the close spatial relationship and the frequent renal arterial variations that accompanies HSK. Diagnosis and a well designed surgical strategy are required to avoid surgical post operative complications. [ABSTRACT FROM AUTHOR]
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