Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney

Horseshoe kidney is a congenital disorder in which two kidneys are fused together in the isthmus. The anatomy could lead to increased risk of urinary tract infections and renal cancers. When performing a hemi-nephrectomy, it is important to identify all blood supply and ensure total excision of pare...

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Autores principales: Fahad Sheckley, John Sheng, Joshua Ng, Michael Stifelman
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/0b87b995a075462e9b9fed25ef919d4c
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spelling oai:doaj.org-article:0b87b995a075462e9b9fed25ef919d4c2021-11-06T04:28:45ZSuperselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney2214-442010.1016/j.eucr.2021.101927https://doaj.org/article/0b87b995a075462e9b9fed25ef919d4c2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214442021003673https://doaj.org/toc/2214-4420Horseshoe kidney is a congenital disorder in which two kidneys are fused together in the isthmus. The anatomy could lead to increased risk of urinary tract infections and renal cancers. When performing a hemi-nephrectomy, it is important to identify all blood supply and ensure total excision of parenchyma and collecting system of the moiety operated upon. We present a case of left heminephrectomy complicated by urinoma secondary to residual tissue in the left moiety. We discuss the role of superselective embolization and other technologies in management of this complication and challenges faced due to aberrant vascularity and abnormal anatomy.Fahad SheckleyJohn ShengJoshua NgMichael StifelmanElsevierarticleHorseshoe kidneyNephrectomyEmbolizationRoboticDiseases of the genitourinary system. UrologyRC870-923ENUrology Case Reports, Vol 40, Iss , Pp 101927- (2022)
institution DOAJ
collection DOAJ
language EN
topic Horseshoe kidney
Nephrectomy
Embolization
Robotic
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Horseshoe kidney
Nephrectomy
Embolization
Robotic
Diseases of the genitourinary system. Urology
RC870-923
Fahad Sheckley
John Sheng
Joshua Ng
Michael Stifelman
Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
description Horseshoe kidney is a congenital disorder in which two kidneys are fused together in the isthmus. The anatomy could lead to increased risk of urinary tract infections and renal cancers. When performing a hemi-nephrectomy, it is important to identify all blood supply and ensure total excision of parenchyma and collecting system of the moiety operated upon. We present a case of left heminephrectomy complicated by urinoma secondary to residual tissue in the left moiety. We discuss the role of superselective embolization and other technologies in management of this complication and challenges faced due to aberrant vascularity and abnormal anatomy.
format article
author Fahad Sheckley
John Sheng
Joshua Ng
Michael Stifelman
author_facet Fahad Sheckley
John Sheng
Joshua Ng
Michael Stifelman
author_sort Fahad Sheckley
title Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
title_short Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
title_full Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
title_fullStr Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
title_full_unstemmed Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
title_sort superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney
publisher Elsevier
publishDate 2022
url https://doaj.org/article/0b87b995a075462e9b9fed25ef919d4c
work_keys_str_mv AT fahadsheckley superselectiveembolizationinmanagementofremnantrenalmoietyandvesselsafterradicalnephrectomyinhorseshoekidney
AT johnsheng superselectiveembolizationinmanagementofremnantrenalmoietyandvesselsafterradicalnephrectomyinhorseshoekidney
AT joshuang superselectiveembolizationinmanagementofremnantrenalmoietyandvesselsafterradicalnephrectomyinhorseshoekidney
AT michaelstifelman superselectiveembolizationinmanagementofremnantrenalmoietyandvesselsafterradicalnephrectomyinhorseshoekidney
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