Polycystic Horseshoe Kidney: A Rare Coexistence as a Challenge for the Surgeons. Case Report
Case studies
Dionysios Prevezanos
Renal Transplantation Unit, Laiko General Hospital, Athens, Greece
Nikolaos Garmpis
Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece; N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Dimitrios Dimitroulis
Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Anna Garmpi
First Department of Propedeutic Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Vasiliki Epameinondas Georgakopoulou
Laiko General Hospital, Greece
https://orcid.org/0000-0003-0772-811X
Christos Damaskos
Renal Transplantation Unit, Laiko General Hospital, Athens, Greece; N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Published 2022-07-25
https://doi.org/10.15388/Amed.2022.29.2.7
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Keywords

polycystic kidney
horseshoe
nephrectomy

How to Cite

1.
Prevezanos D, Garmpis N, Dimitroulis D, Garmpi A, Georgakopoulou VE, Damaskos C. Polycystic Horseshoe Kidney: A Rare Coexistence as a Challenge for the Surgeons. Case Report. AML [Internet]. 2022 Jul. 25 [cited 2024 Mar. 28];29(2):338–343. Available from: https://www.journals.vu.lt/AML/article/view/27585

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) with concomitant horseshoe kidney is an extremely rare entity. In this case, we report a 45-year-old male patient with ADPKD and a horseshoe kidney who demonstrated hypertension, urological complications and discomfort symptoms such as pain, breathing difficulties and abdominal meteorism. After preoperative assessment and planning, the patient underwent nephrectomy. Bilateral nephrectomy without dividing the isthmus was performed successfully. The isthmus, which had complicated vasculature and was full of cysts, remained intact avoiding severe bleeding and infection. The postoperative course was uneventful. Keeping the isthmus intact in such cases is a challenge for the surgeon. The rarity of polycystic horseshoe kidney in combination with the altered abdominal anatomy requires the proper preoperative strategy in order to avoid intraoperative complications.

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