Jurnal Urologi Indonesia (Sep 2024)

TUMOR IN HORSESHOE KIDNEYS: A CASE REPORT AND LITERATURE REVIEW

  • Bobby Sutojo,
  • Ikhlas Arief Bramono,
  • Edward Usfie Harahap,
  • Rachmat Budi Santoso,
  • Galuh Ayu Treswari,
  • Rizky Ifandriani Putri,
  • Hardini Intan Setiawati Mahdi

DOI
https://doi.org/10.32421/juri.v31i3.896
Journal volume & issue
Vol. 31, no. 3

Abstract

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Objective: This study aims to report a renal tumor in a horseshoe kidney successfully treated with an open left nephrectomy. Case(s) Presentation: A 3 years old girl with a lump in the left abdomen and intermittent hematuria was referred to our hospital. Whole abdominal contrast CT scan showed the presence of a left renal mass in a horseshoe kidney that infiltrates the left renal artery and is attached to the spleen. The patient underwent preoperative chemotherapy followed by surgical resection. Discussion: In a horseshoe kidney, renal tumors are uncommon. The limited kidney mobilization and access to the renal hilum and the abnormal and highly variable vasculature make surgical treatment of a tumor in a horseshoe kidney extremely difficult. Conclusion: Open surgery continues to be the treatment of choice for horseshoe kidney tumors due to their anatomical complexity, particularly in cases where the tumor is difficult to eradicate. Keywords: Renal tumor, horseshoe kidney, surgical management.

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