Horseshoe kidney with triple renal arteries and an aberrant right testicular artery in a male cadaver: case report
Rim em ferradura com artérias renais triplas e artéria testicular direita aberrante em cadáver masculino: relato de caso
Dibakar Borthakur; Ritu Sehgal; Neerja Rani; Rajesh Kumar; Rakesh Kumar; Rima Dada
Abstract
Keywords
Resumo
O rim em ferradura é uma malformação congênita rara, com uma prevalência relatada entre 1 em 600 a 1 em 400 casos. Um rim em ferradura típico apresenta dois polos inferiores fundidos ao longo da linha média, à frente da aorta abdominal, logo abaixo da origem da artéria mesentérica inferior. Muito raramente, os polos superiores podem se fundir, resultando em um rim em ferradura reverso. Essa malformação é mais comum em homens do que em mulheres, embora não tenha sido estabelecida predileção racial ou genética definida. O rim em ferradura frequentemente se associa a outras anomalias congênitas, sendo as mais comuns as anomalias vasculares. Este relato descreve um caso de rim em ferradura em um cadáver masculino de 73 anos, com artérias renais triplas, artéria testicular direita aberrante originada da artéria renal ipsilateral e cálices extrarrenais bilaterais. Embora seja uma ocorrência rara, o cirurgião deve estar ciente de que essa combinação de anomalias pode representar dificuldades técnicas durante cirurgias abdominais abertas ou laparoscópicas.
Palavras-chave
References
1 Natsis K, Piagkou M, Skotsimara A, Protogerou V, Tsitouridis I, Skandalakis P. Horseshoe kidney: a review of anatomy and pathology. Surg Radiol Anat. 2014;36(6):517-26.
2 Taghavi K, Kirkpatrick J, Mirjalili SA. The horseshoe kidney: surgical anatomy and embryology. J Pediatr Urol. 2016;12(5):275-80.
3 Moore KL, Persaud TV, Torchia MG. Urogenital system. In: Moore KL, Persaud TV, Torchia MG, editors. Developing human: clinically oriented embryology. 10th ed. Philadelphia: Elsevier; 2016. p. 243-58.
4 O’Brien J, Buckley O, Doody O, Ward E, Persaud T, Torreggiani W. Imaging of horseshoe kidneys and their complications. J Med Imaging Radiat Oncol. 2008;52(3):216-26.
5 Cascio S, Sweeney B, Granata C, Piaggio G, Jasonni V, Puri P. Vesicoureteral reflux and ureteropelvic junction obstruction in children with horseshoe kidney: treatment and outcome. J Urol. 2002;167(6):2566-8.
6 Chen H, Hayakawa D, Emura S, Ozawa Y, Yano R, Shoumura S. A case of the horseshoe kidney. Okajimas Folia Anat Jpn. 2001;78(5):169-72.
7 Mohanty C, Ray B, Samaratunga U, Singh G. Horseshoe kidney with extrarenal calyces–a case report. J Anat Soc India. 2002;51(7):57-8.
8 Nakamura Y, Yi SQ, Iimura A, Terayama H, Naito M, Itoh M. Morphological observation of the horseshoe kidney with special reference to the vascular system in 2 Japanese cadavers. Okajimas Folia Anat Jpn. 2005;82(3):89-94.
9 Gupta M, Pandey AK, Goyal N. Horseshoe kidney-a case report. Nepal Med Coll J. 2007;9(1):63-6. PMid:17593682.
10 Apinhasmit W, Methathrathip D. Horseshoe kidney with surplus renal vessels: a case report in Thai cadaver. Siriraj Med J. 2012;64(2):57-9.
11 Naveena S, Mrudula C. Horseshoe kidney: a case report. Int J Res Med Sci. 2013;1(3):304-30.
12 Nikumbh RD, Kazi S, Ughade MN. Gross anatomy of the horseshoe kidney: a case report with brief review of literature. Eur J Anat. 2014;18(2):128-31.
13 Iwanaga J, Saga T,Tabira Y, Watanabe K, Yamaki KI. Gross anatomical dissection of a horseshoe kidney: The eighth specimen in our medical school. Kurume Med J. 2016;62(1-2):29-32.
14 Suwannakhan A, Meemon K. Horseshoe kidney with extrarenal calyces and malformed renal vessels. Eur J Anat. 2016;20(4):355-9.
15 Bokan RR, Shyamkishore K. A Horseshoe Kidney. A case report. Int J Anat. 2017;3(1):22-4.
16 Mote D, Bharambe V, Manvikar PR, Tom DK. A study of horseshoe kidney. A rare anatomical variant. Int J Anat Var. 2017;10(4):103-5.
17 Lucaciu OC, Mohammed RJ, Lucaciu SA. Horseshoe kidney: is there still a debate? Eur J Anat. 2019;23(2):131-5.
18 Satyanarayana N, Victor ADA, Aswinprakash S, Arulmoli R, Sunitha P. A rare variation of horse-shoe kidney it’s molecular and embrylogical basis – a case report SARJ. Anat Physiol. 2020;1(1):1-4.
19 Coelho GM, França RA, Rocha RD, et al. Symptomatic abdominal aortic aneurysm in a patient with a horseshoe kidney. J Vasc Bras. 2020;19:e20200088.
20 Lee YE, Asbury C, Bailey G, et al. Rare cadaveric finding of a horseshoe kidney in the presence of an abdominal aortic aneurysm: a case report. IJCSAV. 2023;4(1):38-43.
21 Mulatti GC, Joviliano EE, Pereira AH, et al. Brazilian Society for Angiology and Vascular Surgery guidelines on abdominal aortic aneurysm. J Vasc Bras. 2023;22:e20230040.
22 Kotian SR, Pandey AK, Padmashali S, Jaison J, Kalthur SG. A cadaveric study of the testicular artery and its clinical significance. J Vasc Bras. 2016;15(4):280-6.
23 Terayama H, Miyaki Y, Qu N, et al. Variations in the gonadal artery with a single common trunk: embryological hypotheses by observation. Folia Morphol (Warsz). 2021;80(2):324-30.
24 Hussein M, Deep V, Gupta P, Sharma AK, Yadav AK. Variable origin of testicular artery from renal artery and its clinical significance in North Indian population. Sch J App Med Sci. 2014;4:407-10.
25 Misiani MK, Ongeti K, Ogeng’o J. Anomalous origin of left testicular artery from an additional renal artery. Anat J Afr. 2012;1(1):14-6.
26 Mamatha H, D’Souza AS, Vinodhini P, Biswabina R, Suhani, Pallavi. A cadaveric study about the anomalous origin of testicular arteries arising from the accessory renal arteries. Indian J Surg. 2015;77:111-6.
27 Panagouli E, Lolis E, Venieratos D. Origen bilateral de las arterias testiculares desde las arterias renales polares inferiores accesorias. Int J Morphol. 2012;30(4):1316-20.
28 Skoog SJ, Reed MD, Gaudier FA Jr, Dunn NP. The posterolateral and the retrorenal colon: implication in percutaneous stone extraction. J Urol. 1985;134(1):110-2.
29 Pereira UL, Albero JR, Becalli ML, Sampaio FJ, Favorito LA. Three-dimensional printing models of horseshoe kidney and duplicated pelvicalyceal collecting system for flexible ureteroscopy training: a pilot study. Int Braz J Urol. 2021;47(4):887-89.
30 Decter RM. Renal duplication and fusion anomalies. Pediatr Clin North Am. 1997;44(5):1323-41.
Submitted date:
08/03/2024
Accepted date:
01/19/2025
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email