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"Horseshoe kidney" in an ectopic position. A case report.
P Bordei1, D-St Antohe, D Iliescu
1Faculté de Médecine et de Pharmacie, rue Ioan Vodă, 58, 8700 Constanţa, Romania. bordei@anatomie.ro
Surgical and Radiologic Anatomy : SRA
|August 5, 2003
Summary
This case study details a rare horseshoe kidney found in a 68-year-old patient. The study outlines its ectopic placement and unique vascular anatomy, including multiple renal arteries and veins.
Area of Science:
- Anatomical studies
- Surgical anatomy
- Urology
Background:
- Horseshoe kidney is a common congenital anomaly.
- Ectopic kidneys can present with complex vascular variations.
- Understanding renal vascular anatomy is crucial for surgical planning.
Observation:
- A horseshoe kidney was identified in a 68-year-old male patient.
- The kidney was ectopically located with its isthmus at the terminal aorta.
- Significant asymmetry was noted, with the right kidney larger than the left.
Findings:
- Four renal arteries were identified: two on the right and two on the left.
- Four renal veins were observed: one left, one middle, and two on the right.
- The isthmus received blood supply from the left and right inferior renal arteries.
- Venous drainage of the isthmus involved the left and middle renal veins.
Implications:
- This case highlights the significant vascular anomalies that can accompany horseshoe kidney.
- Detailed anatomical knowledge is essential for managing complex renal conditions.
- Such variations pose challenges in renal transplantation and surgery.