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Inicio Cirugía Española (English Edition) An Infarcted Horseshoe Kidney
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Vol. 92. Issue 2.
Pages e9 (February 2014)
Vol. 92. Issue 2.
Pages e9 (February 2014)
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DOI: 10.1016/j.cireng.2013.07.023
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An Infarcted Horseshoe Kidney
Riñón en herradura infartado
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Paula Campelos, Carlos A. Mestres??
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cmestres@clinic.ub.es

Corresponding author.
, Juan Fernando Encalada, Cristian Delgado
Servicio de Cirugía Cardiovascular, Hospital Clínico, Universidad de Barcelona, Barcelona, Spain
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This 64-year-old patient was admitted due to sudden-onset of abdominal pain and hypotension. Physical examination confirmed distension, abdominal guarding and a pulsatile mass. Imaging studies showed evidence of a sub-renal abdominal aortic aneurysm and horseshoe kidney. The left hemi-kidney presented signs of hypoperfusion (Figs. 1 and 2). The patient underwent emergency surgery. We performed left hemi-nephrectomy, endoaneurysmorrhaphy and the proximal anastomosis of a bifurcated bypass with vascular prosthesis (18mm×9mm). The patient died during the course of operation due to uncontrollable ventricular arrhythmia and coagulopathy. Horseshoe kidney associated with abdominal aortic aneurysm is a rare finding.

Fig. 1
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Fig. 2
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The final diagnosis was abdominal aortic aneurysm and horseshoe kidney with segmental infarction.

Please cite this article as: Campelos P, Mestres CA, Encalada JF, Delgado C. Riñón en herradura infartado. Cir Esp. 2014;92:e9.

Copyright © 2013. AEC
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