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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442021003673 |
| _version_ | 1818337402305904640 |
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| author | Fahad Sheckley John Sheng Joshua Ng Michael Stifelman |
| author_facet | Fahad Sheckley John Sheng Joshua Ng Michael Stifelman |
| author_sort | Fahad Sheckley |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-13T14:54:39Z |
| format | Article |
| id | doaj.art-0b87b995a075462e9b9fed25ef919d4c |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-12-13T14:54:39Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-0b87b995a075462e9b9fed25ef919d4c2022-12-21T23:41:15ZengElsevierUrology Case Reports2214-44202022-01-0140101927Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidneyFahad Sheckley0John Sheng1Joshua Ng2Michael Stifelman3Department of Urology, Hackensack University Medical Center, Hackensack, NJ, USA; Corresponding author.Division of Urology, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, USADepartment of Radiology, Hackensack University Medical Center, Hackensack, NJ, USADepartment of Urology, Hackensack University Medical Center, Hackensack, NJ, USA; Hackensack Meridian School of Medicine, Nutley, NJ, USAHorseshoe 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.http://www.sciencedirect.com/science/article/pii/S2214442021003673Horseshoe kidneyNephrectomyEmbolizationRobotic |
| spellingShingle | Fahad Sheckley John Sheng Joshua Ng Michael Stifelman Superselective embolization in management of remnant renal moiety and vessels after radical nephrectomy in horseshoe kidney Urology Case Reports Horseshoe kidney Nephrectomy Embolization Robotic |
| title | 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_short | 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 |
| topic | Horseshoe kidney Nephrectomy Embolization Robotic |
| url | http://www.sciencedirect.com/science/article/pii/S2214442021003673 |
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