Abstract
Introduction:
A 90-year-old patient was admitted with a hemorrhagic shock from a huge ruptured abdominal aortic aneurysm with an unfavourable infrarenal aortic neck and a horseshoe kidney (HSK).
Report:
We decided on an open surgical approach: the HSK isthmus was sectioned with an Endo GIA 45 mm, and we performed a suprarenal aortic cross-clamping and an aortic graft reconstruction. Postoperatively, no urinary leakage was detected, and renal function showed no impairment. The patient died on the 10th postoperative day from pneumonia.
Conclusion:
We believe that the sectioning of the HSK isthmus with Endo GIA is a fast and simple maneouvre.
Keywords:
Endo GIA; horseshoe kidney; isthmus sectioning; ruptured abdominal aortic aneurysm.
MeSH terms
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Aged, 80 and over
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Aneurysm, Ruptured / complications
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Aneurysm, Ruptured / diagnostic imaging
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Aneurysm, Ruptured / surgery*
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Aortic Aneurysm, Abdominal / complications
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Aortic Aneurysm, Abdominal / diagnostic imaging
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Aortic Aneurysm, Abdominal / surgery*
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Aortography / methods
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / adverse effects
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Blood Vessel Prosthesis Implantation / instrumentation
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Blood Vessel Prosthesis Implantation / methods*
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Computed Tomography Angiography
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Fatal Outcome
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Female
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Fused Kidney / complications*
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Fused Kidney / diagnostic imaging
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Humans
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Pneumonia / etiology
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Shock, Hemorrhagic / etiology
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Surgical Staplers
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Surgical Stapling / adverse effects
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Surgical Stapling / instrumentation
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Surgical Stapling / methods*
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Treatment Outcome