Correção endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Saadi, Eduardo Keller; Dussin, Luiz Henrique; Moura, Leandro de; Zago, Alcides José

doi:10.1590/s0102-76382008000300024

Cited by 12 publications

(7 citation statements)

References 20 publications

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“…HSK occurring at same time with AAA is rare. It has been seen in ∼0.12% of cases [ 2 , 4 ]. Pubmed reported 176 cases between 1956 and 1999 [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Fusion is usually at the lower poles resulting in the kidneys been caught at the level of the developing inferior mesenteric artery [ 1 , 2 ]. However, in ∼0.17–0.25% of cases, the fusion occurs at the upper pole resulting in an inverted horseshoe [ 1 – 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…No racial preferences have been noted in the occurrence of HSK and the male-to-female ratio is 2 : 1 [ 3 , 4 ]. Most HSKs are diagnosed on routine radiological investigation, but there is high incidence of injury to them from blunt abdominal trauma.…”

Section: Introductionmentioning

confidence: 99%

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Fused ureters in patient with horseshoe kidney and aortic abdominal aneurysm

Obidike

Woha

Aftab

2014

Journal of Surgical Case Reports

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Horseshoe kidney (HSK) is a very common developmental abnormality in the kidney. They are associated with abnormalities like multiple renal arteries, abnormal position of the ureter in the renal pelvis and highly placed ureteropelvic junction. These can result in urological complications. However, the ureters run their separate course and empty individually into the urinary bladder. Surprisingly, anatomical anomalies do occur and can lead to unexpected findings on investigation or surgical treatment. Such anomalies can present diagnostic and management challenges to unsuspecting clinicians. This report deals with one of such anomalies that seem not to have been reported before in the literature. This case is a rare finding of fused ureters over the renal isthmus in a patient with HSK who also has aortic abdominal aneurysm (AAA). Simultaneous occurrences of HSK and AAA have been reported severally in the past, and the authors are paying attention on the ureteral anomaly.

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“…HSK occurring at same time with AAA is rare. It has been seen in ∼0.12% of cases [ 2 , 4 ]. Pubmed reported 176 cases between 1956 and 1999 [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fused ureters in patient with horseshoe kidney and aortic abdominal aneurysm

Obidike

Woha

Aftab

2014

Journal of Surgical Case Reports

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“…HSK is one of the most common congenital kidney anomalies, yet its prevalence is only 1 in 400 cases [2,3]. Furthermore, the presence of HSK and abdominal aortic aneurysm (AAA) is rarely reported, with an incidence of 1 in every 710 autopsied cases (0.14%) and only 0.12% of patients with this association undergo AAA repair [4]. This co-existence of HSK and AAA is rarely detected due to the absence of symptoms and is typically discovered through physical examination, imaging, or postmortem examinations [4].…”

Section: Introductionmentioning

confidence: 99%

Rare Cadaveric Finding of a Horseshoe Kidney in the Presence of an Abdominal Aortic Aneurysm: A Case Report

Lee,

Asbury,

Bailey

et al. 2023

Int J Cadaver Stud Ant Var

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Horseshoe kidney is a congenital malformation that occurs during gestational development as a result of the fusion of the parenchyma of both kidneys at their lower poles. This leads to the malrotation of the urinary tract and abnormal renal vasculature. The co-existence of horseshoe kidney and abdominal aortic aneurysm is rare; it is found in approximately 1 in 700 autopsied cases and only 0.12% of patients undergo surgical repair of the abdominal aortic aneurysm. Both horseshoe kidney and abdominal aortic aneurysm usually present asymptomatically, and diagnosis may be made by physical examination, incidental findings on imaging, or during post-mortem examination. Furthermore, physicians face a great challenge in the medical and surgical management of these conditions due to the lack of standard guidance. In this article, we present a cadaveric case of a horseshoe kidney accompanied by an abdominal aortic aneurysm. The case report will demonstrate and categorize the horseshoe kidney with the Eisendrath system as type II and III classification, as well as discuss anatomical variations and medical management of the co-existence of a horseshoe kidney and abdominal aortic aneurysm.

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“… 3 However, the association of such aorto-iliac disease with horseshoe kidney (HSK) occurs in about 1 in every 400 people (0.15% to 0.8) people. 4 , 5 The HSK may pose a threat to open approaches. 6 In addition; pancreatitis alone poses a perilous risk for open surgery, with dismal prognosis.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of a Common Iliac Pseudoaneurysm and Aortic Ectasia in a Patient with Horseshoe Kidney and Pancreatitis: A Case Report

Fakhro

Shah

Barnes

2013

Annals of Medicine &Amp; Surgery

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We present the first case of 45 year-old male with an incidental non-symptomatic right common iliac artery pseudoaneurysm with concomitant aortic ectasia in the setting of severe alcoholic pancreatitis and a horseshoe kidney diagnosed by CT and MRA. Such findings would have posed significant difficulty during an open approach precluding safe surgical repair. Therefore, an exclusion endovascular repair of the pseudoaneurysm was employed using a unibody bifurcated endovascular aortic stent-graft to good results. Although not without their complications, endovascular stent-grafts may be life saving to patients who are not candidates for conventional surgical repair. We describe the diagnosis alongside our technique of endovascular repair.

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Correção endovascular de aneurisma de aorta abdominal em paciente com rim em ferradura: relato de caso

Cited by 12 publications

References 20 publications

Fused ureters in patient with horseshoe kidney and aortic abdominal aneurysm

Fused ureters in patient with horseshoe kidney and aortic abdominal aneurysm

Rare Cadaveric Finding of a Horseshoe Kidney in the Presence of an Abdominal Aortic Aneurysm: A Case Report

Endovascular Repair of a Common Iliac Pseudoaneurysm and Aortic Ectasia in a Patient with Horseshoe Kidney and Pancreatitis: A Case Report

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