Surgery of abdominal aortic aneurysm in horseshoe kidney. Report of a case and review of the literature

OBJECTIVE: A case of coexistent abdominal aortic aneurysm and horseshoe kidney is presented. The diagnostic difficulties and the different treatments are discussed. METHODS/RESULTS: A 55-year-old male patient with aneurysm of the abdominal aorta associated with a horseshoe kidney is described and the literature is reviewed. The diagnosis was made by CT and arteriography. Treatment was by the transperitoneal approach, division of the renal isthmus and placement of an aortoiliac dacron graft. CONCLUSION: Horseshoe kidney associated with abdominal aortic aneurysm requiring surgical management is uncommon, but when it occurs, aortic repair is significantly more difficult.