Clinic for Vascular and Endovascular Surgery, Clinical Center of Serbia, Belgrade, Serbia.
School of Medicine, University of Belgrade, Belgrade, Serbia.
Vascular. 2023 Jun;31(3):603-607. doi: 10.1177/17085381221076332. Epub 2022 Feb 26.
Horseshoe kidney is a well-known congenital anomaly and the most common anomaly of the upper urinary tract. This condition is rarely associated with anomalous inferior vena cava (IVC). Polycystic horseshoe kidney is a very rare occurrence and however IVC anomalies common with polycistic disease are an increasingly recognized risk factor for iliofemoral deep venous thrombosis.
We present a case of 75-year-old patient with recurrent deep vein thrombosis (DVT) of right leg as a result of compression of large horseshoe kidney cysts in double inferior vena cava.
Large renal cyst were successful treated percutaneously punctured for the relief of compression and received injection of acidic solutions of 95% ethanol under ultrasound guidance for prevention against re-accumulation of cyst fluid.
Percutaneous aspiration with ultrasound guidance with injection of sclerosing solutions as a relatively simple procedure and can be the method of choice for treatment of renal cysts. Also, any recurrent deep vein thrombosis on lower extremity requires additional evaluation in the form of an ultrasound or multidetector computed tomography examination of the abdomen.
马蹄肾是一种众所周知的先天性异常，也是上尿路最常见的异常。这种情况很少与异常下腔静脉（IVC）相关。多囊马蹄肾是一种非常罕见的情况，然而多囊疾病常见的 IVC 异常是髂股深静脉血栓形成的一个日益被认识到的危险因素。
我们报告了一例 75 岁患者，由于双下腔静脉压迫大马蹄肾囊肿，导致右下肢复发性深静脉血栓形成（DVT）。
大的肾囊肿成功地通过经皮穿刺进行了治疗，以缓解压迫，并在超声引导下注射 95%乙醇的酸性溶液，以防止囊肿液再次积聚。
超声引导下经皮抽吸并注射硬化剂是一种相对简单的方法，可作为治疗肾囊肿的首选方法。此外，下肢任何复发性深静脉血栓形成都需要进一步评估，形式为腹部超声或多排 CT 检查。
