Abdominal aortic aneurysm associated with crossed renal ectopia without fusion: Case report and literature review
| Autor: | Atsushi Kuwabara, Naoki Konagai, Mikihiko Itoh, Tatsuhiko Kudou, Mitsunori Maeda, Shin Ishimaru, Hiromi Yano |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty government.form_of_government urologic and male genital diseases Kidney Iliac Artery Renal Artery Aneurysm Ureter medicine.artery medicine Humans Crossed renal ectopia Renal artery business.industry Abdominal aorta Middle Aged medicine.disease Ectopic kidney Abdominal aortic aneurysm Surgery medicine.anatomical_structure Iliac Aneurysm government Kidney Diseases Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Vascular Surgery. 37:1098-1102 |
| ISSN: | 0741-5214 |
| DOI: | 10.1067/mva.2003.184 |
| Popis: | Genitourinary anomalies can present a formidable challenge to the vascular surgeon at abdominal aortic reconstruction. We saw a case of crossed renal ectopia without fusion, a rare anomaly, associated with abdominal aortic aneurysm. Because of risk for injury to the kidney during surgery, preoperative evaluation of this anomaly must include computed tomography, angiography, and intravenous pyelography. Preoperative placement of a ureteral catheter may prevent injury to the anomalous ureter. Renal failure of the ectopic kidney during aortic reconstruction can be a serious problem. We used in situ hypothermic perfusion with cold (4°C) Ringer solution for renal protection, and reimplanted the aberrant renal artery. The postoperative course was good, without major complications. The procedure for renal preservation must be selected on the basis of anatomic findings. We review the literature and present the first case of crossed renal ectopia. (J Vasc Surg 2003;37:1098-102.) Crossed renal ectopia is an uncommon genitourinary anomaly, detected in 1 of 7000 autopsies. 1 The ectopic kidney crosses the midline and lies contralateral to its normal position, 2 and may be fused to the normal kidney. The ureter of the ectopic kidney crosses the midline to enter the bladder at its normal position. The blood supply to the kidneys is from the aorta or the iliac arteries, and the number of renal arteries varies. 3,4 Such aberrations may provide a significant challenge to the vascular surgeon if aortic reconstruction is required. The English literature includes only been a few reports of abdominal aneurysm repair complicated by crossed fused ectopic kidney, 5-10 and no reports of this operation without fusion. We report successful aneurysm reconstruction in a patient with crossed ectopic kidney without fusion. CASE REPORT |
| Databáze: | OpenAIRE |
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