Best strategy in managing the association of Horse-shoe-Kidney and Abdominal Aortic Aneurysm: Case report

Ayoub Bounssir; Tarik Bakkali; Houda Taghi; Yasser Sefiani; Brahim Lekehal

doi:10.1016/j.ijscr.2020.08.034

Best strategy in managing the association of Horse-shoe-Kidney and Abdominal Aortic Aneurysm: Case report

Int J Surg Case Rep. 2020:75:11-15. doi: 10.1016/j.ijscr.2020.08.034. Epub 2020 Sep 1.

Authors

Ayoub Bounssir¹, Tarik Bakkali², Houda Taghi², Yasser Sefiani², Brahim Lekehal²

Affiliations

¹ Vascular Surgery Departement, Ibn Sina University Hospital Center, 10104, Souissi, Rabat, Morocco; Université Mohammed V, faculté de médecine et de pharmacie de Rabat, Morocco. Electronic address: dbouns.ayoub@gmail.com.
² Vascular Surgery Departement, Ibn Sina University Hospital Center, 10104, Souissi, Rabat, Morocco; Université Mohammed V, faculté de médecine et de pharmacie de Rabat, Morocco.

Abstract

Introduction: Horseshoe Kidney (HSK) is probably the most common of all renal fusion abnormalities. However the association of Abdominal aortic aneurism (AAA) and HSK is rare, and occurred in 0,12% of patient affected by AAA.

Presentation of case: We present a patient with the concomitant presence of AAA and HSK treated by open surgical repair with a transperitoneal approach without section of the isthmus with great outcomes after surgery.

Discussion: The management of AAA associated with HSK presents a special challenge during vascular surgery, given the close spatial relationship and the frequent renal arterial variations that accompanies HSK.

Conclusion: Diagnosis and a well designed surgical strategy are required to avoid surgical post operative complications.

Keywords: Aortic aneurysm; Horse shoe kidney; Isthmus; Open aortic surgery.

Publication types

Case Reports