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Open transperitoneal partial nephrectomy in a horseshoe kidney
  1. Alex Romeo1,
  2. Evan Spencer1,
  3. Jacob Baber2 and
  4. Mark Ferretti2
  1. 1Geisinger Commonwealth School of Medicine, Scranton, Pennsylvania, USA
  2. 2Geisinger Northeast Urology Department, Wilkes-Barre, Pennsylvania, USA
  1. Correspondence to Dr Evan Spencer; ems5648{at}gmail.com

Abstract

We report the case of a 50-year-old Tibetan man who presented to an outpatient urology clinic after abdominal ultrasound for poorly defined abdominal pain demonstrated horseshoe kidney (HK) with a right moiety ~3.7 cm mass further characterised using contrast-enhanced CT scan (CECT). This dedicated imaging confirmed HK with a heterogeneously enhancing right upper pole 3.1 cm×3.7 cm×2.7 cm mass. Due to suspicion for aberrant vasculature on CECT, renovascular angiography was performed, which revealed recruitment of a right paravertebral vessel alongside two right renal moiety arteries and multiple right renal moiety veins. Based on vascular complexity and the surgical exposure required for arterial clamping, open transperitoneal right partial nephrectomy was preferred to minimally invasive techniques. Postoperative course was complicated by ileus, which resolved with standard management. Pathologic analysis revealed complete resection of a 5.0 cm Fuhrman grade II clear cell renal cell carcinoma.

  • urology
  • oncology
  • cancer intervention
  • urological cancer

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Footnotes

  • Twitter @EvanSpe72773131

  • Contributors ES - assistance with surgery, background research, chart review, manuscript writing, submission. AR - background research chart review, research, manuscript writing, submission. JB - Oversaw project, Assistance with surgery, chart review, manuscript writing. MF - Oversaw project, Assistance with surgery, chart review, manuscript writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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