Urology Case Reports (Sep 2021)

Laparoscopic heminephrectomy in a horseshoe kidney affected by xanthogranulomatous pyelonephritis: A modified approach

  • Faris Abushamma,
  • Abdulkarim Barqawi,
  • Maha Akkawi,
  • Mosab Maree,
  • Ahmad Jaradat,
  • Amir Aghbar

Journal volume & issue
Vol. 38
p. 101717

Abstract

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Horseshoe kidney (HSK) is a common congenital kidney anomaly that is encountered frequently by urologists. It is rare for HSK to be affected by xanthogranulomatous pyelonephritis (XGP), a potentially life-threatening condition. The standard of care for XGP is open nephrectomy, but recently a few case reports have been published showing the feasibility of minimally invasive surgery to deal with XGP. We present a case of HSK affected by XGP treated successfully with modified laparoscopic transperitoneal heminephrectomy. The rarity of such a combination, the modified approach, and the successful outcome encouraged us to report it.

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