Open AccessPolycystic Horseshoe Kidney: A Rare Coexistence as a Challenge for the Surgeons. Case Report
Author(s) -
Dionysios Prevezanos,
Nikolaos Garmpis,
Dimitrios Dimitroulis,
Anna Garmpi,
Vasiliki Georgakopoulou,
Christos Damaskos
Publication year - 2022
Publication title -
acta medica lituanica
Language(s) - English
Resource type - Journals
eISSN - 2029-4174
pISSN - 1392-0138
DOI - 10.15388/amed.2022.29.2.7
Subject(s) - medicine , horseshoe kidney , autosomal dominant polycystic kidney disease , nephrectomy , polycystic kidney disease , surgery , kidney , abdominal pain , concomitant , horseshoe (symbol) , cyst , computer science , programming language
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.