A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener

Horseshoe kidney is a common congenital fusion anomaly of the kidneys. It poses a challenge to surgeon because of its very variable anatomy in terms of location and lie, fusion, pelvicalyceal system, and the renal vessels. Here we describe a case of laparoscopic nephrectomy in a horseshoe kidney com...

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Autores principales: Venkat Ramanan, S., Velmurugan, P., Bhaskar Prakash, A. R., Arora, Anuj, Karri, LeelaKrishna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521563/
https://www.ncbi.nlm.nih.gov/pubmed/31186977
http://dx.doi.org/10.1155/2019/4132521
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author Venkat Ramanan, S.
Velmurugan, P.
Bhaskar Prakash, A. R.
Arora, Anuj
Karri, LeelaKrishna
author_facet Venkat Ramanan, S.
Velmurugan, P.
Bhaskar Prakash, A. R.
Arora, Anuj
Karri, LeelaKrishna
author_sort Venkat Ramanan, S.
collection PubMed
description Horseshoe kidney is a common congenital fusion anomaly of the kidneys. It poses a challenge to surgeon because of its very variable anatomy in terms of location and lie, fusion, pelvicalyceal system, and the renal vessels. Here we describe a case of laparoscopic nephrectomy in a horseshoe kidney complicated by incomplete removal because of not realizing the lower and medial extent of pelvicalyceal system across midline to the contralateral side leading to persistent urine leak. The relevant anatomy and the necessary precautions to prevent such complication have been discussed.
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spelling pubmed-65215632019-06-11 A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener Venkat Ramanan, S. Velmurugan, P. Bhaskar Prakash, A. R. Arora, Anuj Karri, LeelaKrishna Case Rep Urol Case Report Horseshoe kidney is a common congenital fusion anomaly of the kidneys. It poses a challenge to surgeon because of its very variable anatomy in terms of location and lie, fusion, pelvicalyceal system, and the renal vessels. Here we describe a case of laparoscopic nephrectomy in a horseshoe kidney complicated by incomplete removal because of not realizing the lower and medial extent of pelvicalyceal system across midline to the contralateral side leading to persistent urine leak. The relevant anatomy and the necessary precautions to prevent such complication have been discussed. Hindawi 2019-05-02 /pmc/articles/PMC6521563/ /pubmed/31186977 http://dx.doi.org/10.1155/2019/4132521 Text en Copyright © 2019 S. Venkat Ramanan et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Venkat Ramanan, S.
Velmurugan, P.
Bhaskar Prakash, A. R.
Arora, Anuj
Karri, LeelaKrishna
A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title_full A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title_fullStr A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title_full_unstemmed A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title_short A Case of Incomplete Removal of Horseshoe Kidney by Laparoscopic Nephrectomy in an Adult Leading to Urinary Leak: An Eye Opener
title_sort case of incomplete removal of horseshoe kidney by laparoscopic nephrectomy in an adult leading to urinary leak: an eye opener
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6521563/
https://www.ncbi.nlm.nih.gov/pubmed/31186977
http://dx.doi.org/10.1155/2019/4132521
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