A Case of Abdominal Aortic Aneurysm Accompanied By Horseshoe Kidney

Murat İkizler, Sadettin Dernek

Department of Cardiovascular Surgery, Medicine Faculty of Osmangazi University, Eskişehir

Abdominal aortic aneurysm in the presence of horseshoe kidney is a very rare clinical entity. The connecting tissue is usually formed by a functional renal parenchyma, causing technical difficulties during surgery. An abdominal aortic aneurysm and horseshoe kidney was detected in a 52-year-old male patient. Following a median incision in the abdomen a transperitoneal approach was used to explore the aneurysm, which was noted to involve both iliac arteries. The lower poles of both kidneys were connected with a thick isthmus overlying the aneurysm. The aneurysm was wrapped with a Dacron patch extending to the proximal segments of both iliac arteries, without opening the sac. There was no complication during the operation or in the postoperative period. After 10 months, he was asymptomatic and enjoying normal daily activities.

Keywords : Aorta, abdominal/surgery; aortic aneurysm/complications/ surgery; kidney/abnormalities; renal artery/abnormalities

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