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Horseshoe kidney and aortic surgery

L F Wymenga1, A vd Tol, H R van Dop

  • 1Department of General Surgery, Martini Hospital (loc v Swieten), Groningen, The Netherlands.

Scandinavian Journal of Urology and Nephrology
|September 1, 1995
PubMed
Summary

This case report details a 50-year-old woman with aortoiliac arteriosclerosis and a horseshoe kidney. Surgical planning using imaging was crucial for successful reconstruction with a Dacron prosthesis.

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Area of Science:

  • Vascular Surgery
  • Urology
  • Medical Imaging

Background:

  • Aortoiliac arteriosclerosis is a significant vascular condition.
  • Horseshoe kidney is a common congenital renal anomaly.
  • The co-occurrence of these conditions presents unique surgical challenges.

Observation:

  • A 50-year-old woman presented with diagnosed aortoiliac arteriosclerosis and a horseshoe kidney.
  • This unusual combination required careful pre-operative assessment.
  • Diagnosis was confirmed prior to surgical intervention.

Findings:

  • Surgical reconstruction was successfully performed using a Dacron bifurcation prosthesis.
  • Pre-operative imaging modalities including ultrasonography, intravenous pyelography, and aortography were vital.
  • These imaging techniques facilitated precise surgical planning.

Implications:

  • This case highlights the importance of comprehensive pre-operative imaging in complex vascular and renal cases.
  • Successful management of combined aortoiliac arteriosclerosis and horseshoe kidney is achievable with meticulous planning.
  • The findings underscore the utility of advanced imaging for surgical strategy in rare anatomical variations.

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