Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Chin Med J (Engl). 2012 Feb;125(3):543-5.
Horseshoe kidney and retrocaval ureter are uncommon congenital anomalies of the genitourinary system that are easily diagnosed by typical imaging features. Both anomalies presenting in one patient is a rare disease characterized by isthmus of horseshoe kidney between the abdominal aorta and inferior vena cava. The clinical diagnosis and treatment of horseshoe kidney with retrocaval ureter remain a challenge. Here, we reported a case of a 44-year-old man with the two anomalies who was preoperatively diagnosed by unenhanced computed tomography scanning immediately after retrograde pyelography. The literatures on such combined anomalies are reviewed and the diagnostic evaluation and surgical management of this rare entity are discussed.
马蹄肾和肾后腔静脉输尿管是泌尿系统常见的先天性异常,通过典型的影像学特征很容易诊断。在一个患者中同时出现这两种异常是一种罕见的疾病,其特征是腹主动脉和下腔静脉之间的马蹄肾峡部。马蹄肾合并肾后腔静脉输尿管的临床诊断和治疗仍然是一个挑战。在这里,我们报告了一例 44 岁男性同时患有这两种异常的病例,该患者在逆行肾盂造影后立即进行增强 CT 扫描术前诊断。回顾了关于这种联合异常的文献,并讨论了这种罕见实体的诊断评估和手术处理。