Authors:
Balázs Nemes University of Debrecen, Debrecen, Hungary

Search for other papers by Balázs Nemes in
Current site
Google Scholar
PubMed
Close
,
Zsolt Kanyári University of Debrecen, Debrecen, Hungary

Search for other papers by Zsolt Kanyári in
Current site
Google Scholar
PubMed
Close
,
Gergely Zádori University of Debrecen, Debrecen, Hungary

Search for other papers by Gergely Zádori in
Current site
Google Scholar
PubMed
Close
,
Lajos Zsom University of Debrecen, Debrecen, Hungary

Search for other papers by Lajos Zsom in
Current site
Google Scholar
PubMed
Close
,
Mariann Berhés University of Debrecen, Debrecen, Hungary

Search for other papers by Mariann Berhés in
Current site
Google Scholar
PubMed
Close
,
Mátyás Hamar Semmelweis University, Budapest, Hungary

Search for other papers by Mátyás Hamar in
Current site
Google Scholar
PubMed
Close
,
Krisztina Kóbor FMC Miskolc Nephrology Centre, Miskolc, Hungary

Search for other papers by Krisztina Kóbor in
Current site
Google Scholar
PubMed
Close
, and
Antal Péter Semmelweis University, Budapest, Hungary

Search for other papers by Antal Péter in
Current site
Google Scholar
PubMed
Close
Open access

Horseshoe kidney is a fusion anomaly found in approximately one in 400–600 people. Due to vascular and ureteral variations, transplantation with a horseshoe kidney presents a technical challenge. In our case, the isthmus connected the upper poles and contained parenchyma. It consisted of three renal arteries, five veins collected to the inferior vena cava, and two ureters and pyelons. It was implanted en bloc to the left side retroperitoneally. During the early period, cellular and humoral rejection was confirmed and treated. For a urine leak, double J catheters were implanted into both ureters. Later, the first catheter was removed. Subsequently, urinary sepsis developed, necessitating graftectomy. The uncommon anatomy of ureters and antibody-mediated rejection (AMR) may both be factors for a ureter tip necrosis led to an infected urinoma. After other Hungarian authors, we also report a horseshoe kidney transplantation that was technically successful. However, after an adequately treated but severe acute humoral rejection, the patient developed sepsis, and the kidney had to be removed. We conclude that transplantation with horseshoe kidney is technically feasible but may increase the risk for urinary complications and resultant infections. Careful consideration of risk and benefit is advised when a transplant professional is faced with this option.

  • 1. Eisendrath DN , Phifer FM, Culver HB: Horseshoe kidney. Ann Surg 82, 735764 (1925)

  • 2. Glodny B , Petersen J, Hofmann KJ, Schenk C, Herwig R, Trieb T, Koppelstaetter C, Steingruber I, Rehder P: Kidney fusion anomalies revisited: clinical and radiological analysis of 209 cases of crossed fused ectopia and horseshoe kidney. BJU Int 103, 224235 (2009)

    • Search Google Scholar
    • Export Citation
  • 3. Da Carpi B (1535): Isagogae breves perlucide ac uberrime in anatomiam humani corporis. National Library of Medicine. Woodcut, Bologna

    • Search Google Scholar
    • Export Citation
  • 4. Glenn JF : Analysis of 51 patients with horseshoe kidney. N Engl J Med 261, 684687 (1959)

  • 5. Boatman DL , Kolln CP, Flocks RH: Congenital anomalies as¬sociated with horseshoe kidney. J Urol 107, 205207 (1972)

  • 6. Boatman DL , Cornell SH, Kolln CP: The arterial supply of horseshoe kidneys. Am J Roentgenol Radium Ther Nucl Med 113, 447451 (1971)

    • Search Google Scholar
    • Export Citation
  • 7. Graves FT : The arterial anatomy of the congenitally abnormal kidney. Br J Surg 56, 533541 (1969)

  • 8. Nelson RP , Palmer JM: Use of horseshoe kidney in renal trans¬plantation: technical aspects. Urology 6, 357359 (1975)

  • 9. Stroosma OB , Scheltinga MR, Stubenitsky BM, Kootstra G: Horseshoe kidney transplantation: an overview. Clin Transplant 14, 515519 (2000)

    • Search Google Scholar
    • Export Citation
  • 10. Marofka F , Szederkényi E, Mihalovits G, Lázár Gy, Morvay Z, Szenohradszky P: Patkóvesével történő veseátültetés hosszú távú eredményei [Long-term results of transplantation with horseshoe kidney]. Magy Seb. 61(3), Suppl. 174 (2008), in Hungarian

    • Search Google Scholar
    • Export Citation
  • 11. Stroosma OB , Smits JM, Schurink GW, de Boer J, Persijn GG, Kootstra G: Horseshoe kidney transplantation within the eurotransplant region: a case control study. Transplantation 72, 19301933 (2001)

    • Search Google Scholar
    • Export Citation
  • 12. Pontinen T , Khanmoradi K, Kumar A, Kudsi H, Cheng Kung S, Chewaproug D, Zaki R, Ortiz J: Horseshoe kidneys: an un¬derutilized resource in kidney transplant. Exp Clin Transplant 8, 7478 (2010)

    • Search Google Scholar
    • Export Citation
  • 13. Tan HP , Samaniego MD, Montgomery RA, Burdick JF, Maley WR, Kraus ES, Ratner LE: Donor horseshoe kidneys for trans¬plantation. Transplantation 72, 869873 (2001)

    • Search Google Scholar
    • Export Citation
  • 14. Ratner LE , Zibari G: Strategies for the successful transplantation of the horseshoe kidney. J Urol 150, 958960 (1993)

  • 15. Uzzo RG , Hsu TH, Goldfarb DA, Taylor RJ, Novick AC, Gill IS: Strategies for transplantation of cadaveric kidneys with congeni¬tal fusion anomalies. J Urol 165, 761765 (2001)

    • Search Google Scholar
    • Export Citation
  • 16. Stroosma OB , Schurink GW, Smits JM, Kootstra G: Transplant¬ing horseshoe kidneys: a worldwide survey. J Urol 166, 20392042 (2001)

  • 17. Piros L , Deak PA, Dallos G, Mathe Zs, Doros A: Successful uri¬nary tract reconstruction following ureteral necrosis in kidney transplant patient. Interv Med Appl Sci 2(6), 134138 (2010)

    • Search Google Scholar
    • Export Citation
  • 18. Foster JT , Morrissey PE: Segmental renal ischemia following transplantation of horseshoe kidney as separate allografts. Case Rep Transplant 2013, 852127 (2013)

    • Search Google Scholar
    • Export Citation
  • 19. Slatinska J , Honsova E, Burgelova M, Slavcev A, Viklicky O: Plasmapheresis and intravenous immunoglobulin in early anti¬body-mediated rejection of the renal allograft: a single-center experience. Ther Apheresis Dial 13, 108 (2009)

    • Search Google Scholar
    • Export Citation
  • 20. Lefaucheur C , Loupy A, Hill GS, Andrade J, Nochy D, Antoine C, Gautreau C, Charron D, Glotz D, Suberbielle-Boissel C: Pre¬existing donor-specific HLA antibodies predic outcome in kidney transplantation. J Am Soc Nephrol 21(6), 13981406 (2010)

    • Search Google Scholar
    • Export Citation
  • 21. Hau HM , Morgul HM, Uhlmann D, Thelen A, Fellmer P, Benckert C, Tautenhahn HM, Bartels M, Jonas S: Horseshoe kidney for transplantation: technical considerations. Scand J Urol 47(6), 7679 (2013)

    • Search Google Scholar
    • Export Citation
  • 22. Sieńko J , Kotowski MJ, Nowacki A, Romanowski M, Sulikowski T, Ostrowski M: Methylene blue usage in horseshoe kidney graft separation: case report. Transplant Proc 46(6), 29232926 (2014)

    • Search Google Scholar
    • Export Citation
  • 23. Vernadakis S , Moris D, Kaiser G, Kykalos S, Sotiropoulos GC: Horseshoe kidney transplantation. Am Surg Sep 79(9) 298299 (2013)

  • 24. Verbelen T , Darius T, Pirenne J, Monbaliu D: Decision making in pretransplant nephrectomy for polycystic kidneys, is it valid for horseshoe kidneys? Transplant Int 25(8), 9697 (2012)

    • Search Google Scholar
    • Export Citation
  • 25. Sezer TO , Solak I, Sozbilen M, Firat O, Yilmaz M, Toz H, Sarsik B, Isayev C, Harman M, Hoscoskun C: A horseshoe kidney from a live donor as a renal transplant case report. Exp Clin Transplant 11(6), 454457 (2013)

    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jan 2024 0 38 11
Feb 2024 0 22 6
Mar 2024 0 34 20
Apr 2024 0 24 8
May 2024 0 28 6
Jun 2024 0 10 5
Jul 2024 0 0 0