"Pancake kidney": a renal anomaly complicating aortic reconstruction
A R Eze1, J V White, A S Pathak
1Department of Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.
Annals of Vascular Surgery
|May 20, 1998
Summary
Pancake kidney, a rare renal fusion anomaly, poses surgical challenges during aortic reconstruction. This case describes the successful management of a patient with aortic aneurysm and pancake kidney.
Area of Science:
- Urology
- Vascular Surgery
- Medical Imaging
Background:
- Pancake kidney is a rare congenital renal fusion anomaly.
- It presents as a lobulated pelvic mass with a dual parenchymal system.
- This anomaly complicates surgical procedures, particularly aortic reconstruction.
Observation:
- A 51-year-old male patient presented with a 5.0 cm aortic aneurysm.
- The patient was diagnosed with a concurrent pancake kidney.
- The presence of pancake kidney posed significant technical challenges for aortic reconstruction.
Findings:
- The study details the surgical management strategy for this complex case.
- Successful aortic reconstruction was performed despite the anatomical challenges posed by the pancake kidney.
- This highlights the feasibility of managing aortic aneurysms in patients with renal fusion anomalies.
Implications:
- This case demonstrates that aortic reconstruction is achievable in patients with pancake kidney.
- It underscores the importance of pre-operative imaging and careful surgical planning.
- The findings contribute to the understanding of managing rare renal anomalies during vascular surgery.
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