Successful transureteropyelostomy after heminephrectomy of a bilateral hydronephrotic horseshoe kidney: a case report

Autor: Gerullis Holger, Eimer Christoph, Betz Dietmar, Otto Thomas
Jazyk: angličtina
Rok vydání: 2008
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 2, Iss 1, p 231 (2008)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-2-231
Popis: Abstract Introduction Horseshoe kidney is a rare congenital malformation that is found in approximately 0.25% of the general population and usually remains asymptomatic. Case presentation We report a successful transureteropyelostomy after heminephrectomy of the non-functional right moiety in a 25-year-old man with horseshoe kidney who had a combined 50% functional loss and hydronephrosis due to multiple distal ureteral strictures on the functionally remaining left side. Continuous ureteral stenting of the remaining part of the former horseshoe kidney was avoided during a follow-up of 2 years. Conclusion Urologists are often faced with technically difficult cases that are not responsive to standard operative procedures, and this case illustrates an individual surgical approach in a clinical situation.
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