Successful para-aortic lymph node dissection for endometrial cancer with horseshoe kidney: A case report and review of the literature.
endometrial cancer
horseshoe kidney
lymph node dissection
lymphadenectomy
renal artery
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
14
01
2019
accepted:
12
06
2019
pubmed:
12
7
2019
medline:
3
3
2020
entrez:
12
7
2019
Statut:
ppublish
Résumé
Horseshoe kidney (HSK) is considered to impede para-aortic lymph node dissection. We report the case of a 54-year-old female patient with endometrial cancer and HSK, treated successfully with para-aortic lymph node dissection, and present literature review regarding vascular abnormalities associated with HSK affecting para-aortic lymph node dissection. Three-dimensional computed tomography reconstruction revealed the accessory renal artery, supernumerary renal vein and ventral displacement of the renal pelvis and ureter. Abdominal modified radical hysterectomy, bilateral salpingo-oophorec'tomy, pelvic and para-aortic lymph node dissection and omentectomy were then performed. Lymphadenectomy behind the isthmus of the kidney was performed without separation of the isthmus by lifting the kidneys with vessel tape. There were no intraoperative or postoperative complications. Grasping shifted ureter and complicated vascular network of HSK and securing the operative field without division of the isthmus were key to reducing complications and hemorrhage. This case report can serve as a guide for performing para-aortic lymph node dissection safely and effectively in patients with HSK.
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2128-2131Informations de copyright
© 2019 Japan Society of Obstetrics and Gynecology.
Références
Muttarak M, Sriburi T. Congenital renal anomalies detected in adulthood. Biomed Imag Interv J 2012; 8: e7.
Majos M, Polguj M, Szemraj-Rogucka Z, Arazińska A, Stefańczyk L. The level of origin of renal arteries in horseshoe kidney vs. in separated kidneys: CT-based study. Surg Radiol Anat 2018; 40: 1185-1191.
Ichikawa T, Tanno K, Okochi T et al. Evaluation of renal artery anomalies associated with horseshoe kidney using CT angiography. Tokai J Exp Clin Med 2015; 40: 16-21.
Kaplan DB, Kwon CC, Marin ML, Hollier LH. Endovascular repair of abdominal aortic aneurysms in patients with congenital renal vascular anomalies. J Vasc Surg 1999; 30: 407-416.
Stroosma OB, Kootstra G, Schurink GW. Management of aortic aneurysm in the presence of a horseshoe kidney. Br J Surg 2001; 88: 500-509.
O'Hara PJ, Hakaim AG, Hertzer NR, Krajewski LP, Cox GS, Beven EG. Surgical management of aortic aneurysm and coexistent horseshoe kidney: Review of a 31-year experience. J Vasc Surg 1993; 17: 940-947.
Evans CP, Tunuguntla HS, Saffarian A, Wood CG. Does retroperitoneal lymphadenectomy for testicular germ cell tumor require a different approach in the presence of horseshoe kidney? J Urol 2003; 169: 503-506.
De Caridi G, Massara M, Greco M et al. Surgical treatment of a voluminous infrarenal abdominal aortic aneurysm with horseshoe kidney: Tips and tricks. Ann Vasc Dis 2015; 8: 324-327.
Truty MJ, Bower TC. Congenital anomalies of the inferior vena cava and left renal vein: Implications during open abdominal aortic aneurysm reconstruction. Ann Vasc Surg 2007; 21: 186-197.
Ichikawa T, Kawada S, Koizumi J et al. Major venous anomalies are frequently associated with horseshoe kidneys. Circ J 2011; 75: 2872-2877.
Trigaux JP, Vandroogenbroek S, De Wispelaere JF, Lacrosse M, Jamart J. Congenital anomalies of the inferior vena cava and left renal vein: Evaluation with spiral CT. J Vasc Interv Radiol 1998; 9: 339-345.
Koc Z, Ulusan S, Oguzkurt L, Tokmak N. Venous variants and anomalies on routine abdominal multi-detector row CT. Eur J Radiol 2007; 61: 267-278.
Aljabri B, MacDonald PS, Satin R, Stein LS, Obrand DI, Steinmetz OK. Incidence of major venous and renal anomalies relevant to aortoiliac surgery as demonstrated by computed tomography. Ann Vasc Surg 2001; 15: 615-618.