Transplanting a horseshoe kidney: A case report and review of surgical strategies

Ordones, Flávio Vasconcelos; Yamamoto, Hamilto Akihissa; Pajolli, Pedro Ivo Rocchetti; Meduna, Rafael Ribeiro; Filho, Fernando Ferreira Gomes; Guerra, Rodrigo; Amaro, João Luiz; Kawano, Paulo Roberto

doi:10.1016/j.eucr.2018.09.011

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Running sutures in one or more layers is the most common technique proposed in the literature 2 ; however, excessive tightening could tear the renal parenchyma apart. Other devices, such as a stapler 3 or a harmonic scalpel, 4 have also been used for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Horseshoe kidney splitting technique for transplantation

Pablos-Rodríguez

Suárez

Canals

et al. 2021

Urology Case Reports

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Shortage of donors has led to an expansion of the criteria for acceptability of deceased-donor organs including the use of kidneys with anatomical variations such us horseshoe kidneys (HSKs). Transplantation can be accomplished either en bloc or after division of the HSK. Little is known about the most appropriate technique to split the kidney and minimize risk of bleeding or urinary fistula. In this report we present two renal transplants after division of a HSK with a different splitting technique.

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Section: Discussionmentioning

confidence: 99%

Horseshoe kidney splitting technique for transplantation

Pablos-Rodríguez

Suárez

Canals

et al. 2021

Urology Case Reports

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“…A horseshoe kidney (HSK) is the most frequent renal fusion anomaly (1 in 400 to 800) [1][2][3][4][5][6][7][8][9][10] that involves abnormal migration of both kidneys with concomitant polar fusion. In over 90% of the cases this fusion occurs at the lower poles and as a result, two separate excretory renal units are maintained.…”

Section: Introductionmentioning

confidence: 99%

“…Because of this early fusion the kidneys fail to rotate medially during embryogenesis resulting in a ventral position of the renal pelvis with the ureters coursing in front of the lower poles. This may lead to abnormalities in the collecting system, therefore: urinary tract infections, vesicoureteral reflux, recurrent kidney stones and hydronephrosis, may frequently be observed [2,[5][6][7]. Variation in the origin, number and size of the renal arteries and veins is well known and described as well, with only 30% of all HSK having a single renal artery on each side [5,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

“…This may lead to abnormalities in the collecting system, therefore: urinary tract infections, vesicoureteral reflux, recurrent kidney stones and hydronephrosis, may frequently be observed [2,[5][6][7]. Variation in the origin, number and size of the renal arteries and veins is well known and described as well, with only 30% of all HSK having a single renal artery on each side [5,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Living-Donor Nephrectomy of a Horseshoe Kidney: A Case Report and Review of the Literature

et al. 2021

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We present the case of a living-donor nephrectomy of a horseshoe kidney. The recipient was a 33-year-old male with a history of end-stage renal disease secondary to IgA nephropathy. The donor was his 33-year-old partner who on preoperative cross-sectional imaging was found to have a horseshoe kidney with a single artery, vein and ureter. The donor operation was performed using a laparoscopic hand-assisted technique with transection of the interpolar fibrotic band using a stapler device. The backtable organ preparation was performed in a standard fashion with addition of a reinforcing hemostatic suture of the stapled fibrotic band. The donated kidney was transplanted extraperitoneally in the right iliac fossa of the recipient. The patient had an unremarkable postoperative course and was discharged home on post operative day 2 with normalizing renal function. To our knowledge, this is the first living donor nephrectomy of a horseshoe kidney performed using a laparoscopic hand-assisted technique.

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A Review of Rare Associations of Horseshoe Kidney: Highlight of a Rare Clinical Case of Polycystic Horseshoe Kidney, Liver Cyst, and Uterine Prolapse

2020

EMJ Urol

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Horseshoe kidney is the most common renal fusion anomaly occurring in 0.15–0.25% of the general population. Horseshoe kidney is usually asymptomatic but may present with disease-like infections, urolithiasis, malignancy, polycystic disease, and other associated anomalies that may require intervention. Polycystic horseshoe kidney is rare, its association with uterine prolapse has not been reported in the literature, and it can only be postulated as an associated risk factor for uterine prolapse when found in the pelvis. The authors reviewed rare associations of horseshoe kidney and the management of these associated anomalies and disease conditions with the clinical vignette of a 60-year-old female with low-lying/lumbo-pelvic polycystic horseshoe kidney and hepatic cyst, and concomitant uterine prolapse requiring total abdominal hysterectomy at a Senegalese Hospital.

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Transplanting a horseshoe kidney: A case report and review of surgical strategies

Cited by 4 publications

References 5 publications

Horseshoe kidney splitting technique for transplantation

Horseshoe kidney splitting technique for transplantation

Laparoscopic Living-Donor Nephrectomy of a Horseshoe Kidney: A Case Report and Review of the Literature

A Review of Rare Associations of Horseshoe Kidney: Highlight of a Rare Clinical Case of Polycystic Horseshoe Kidney, Liver Cyst, and Uterine Prolapse

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