Abstract
IntroductionHorseshoe kidney is a rare congenital malformation that is found in approximately 0.25% of the general population and usually remains asymptomatic.Case presentationWe report a successful transureteropyelostomy after heminephrectomy of the non-functional right moiety in a 25-year-old man with horseshoe kidney who had a combined 50% functional loss and hydronephrosis due to multiple distal ureteral strictures on the functionally remaining left side. Continuous ureteral stenting of the remaining part of the former horseshoe kidney was avoided during a follow-up of 2 years.ConclusionUrologists are often faced with technically difficult cases that are not responsive to standard operative procedures, and this case illustrates an individual surgical approach in a clinical situation.
Highlights
Horseshoe kidney is a rare congenital malformation that is found in approximately 0.25% of the general population and usually remains asymptomatic.Case presentation: We report a successful transureteropyelostomy after heminephrectomy of the non-functional right moiety in a 25-year-old man with horseshoe kidney who had a combined 50% functional loss and hydronephrosis due to multiple distal ureteral strictures on the functionally remaining left side
It may predispose the patient to various symptoms and functional disorders such as abdominolumbar pain, renal stones, ureteropelvic junction obstruction and hydronephrosis or pyonephrosis [1]
We report a case of successful surgical treatment of a horseshoe kidney with combined 50% functional loss and hydronephrosis on the functionally remaining side
Summary
A horseshoe kidney is a rare non-fatal congenital malformation of renal development It usually remains asymptomatic and in many cases it is discovered incidentally. Ultrasound examination revealed a hydronephrosis grade III of the right and grade I to II of the left moiety of the horseshoe kidney. In order to conserve the left part of the kidney, and to guarantee optimal drainage of the pelvis using the remaining right ureter, a transureteropyelostomy was successfully undertaken. Both ureters were splinted using DJ stents. During a follow-up period of over 1 year there was no need for continuous ureteral stenting of the remaining part of the former horseshoe kidney.
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