Abdominal aortic aneurysm associated with crossed renal ectopia without fusion: Case report and literature review Hiromi Yano, MD a, Naoki Konagai, MD.

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Presentation transcript:

Abdominal aortic aneurysm associated with crossed renal ectopia without fusion: Case report and literature review Hiromi Yano, MD a, Naoki Konagai, MD a, Mitsunori Maeda, MD a, Mikihiko Itoh, MD a, Atsushi Kuwabara, MD a, Tatsuhiko Kudou, MD a, Shin Ishimaru, MD b Journal of Vascular Surgery Volume 37, Issue 5, Pages 1098-1102 (May 2003) DOI: 10.1067/mva.2003.184 Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Transbrachial aortogram demonstrates a huge infrarenal abdominal aortic aneurym involving the left common iliac artery and the left crossed ectopic kidney, which is malrotated and located on the right side of the pelvis. Feeding artery of the ectopic kidney originates from the aneurysm. Journal of Vascular Surgery 2003 37, 1098-1102DOI: (10.1067/mva.2003.184) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 CT scans reveal an abdominal aortic aneurysm, 8 cm in diameter (A), and the contrast-enhanced crossed ectopic kidney (B). Journal of Vascular Surgery 2003 37, 1098-1102DOI: (10.1067/mva.2003.184) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Schema of expected anatomy. Ureter originates from ectopic kidney, crosses the midline, and enters the bladder at its normal anatomic location. Journal of Vascular Surgery 2003 37, 1098-1102DOI: (10.1067/mva.2003.184) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Postoperative aortograms show contrast-enhanced ectopic kidney (A) and anomalous venous return (B;arrow). Journal of Vascular Surgery 2003 37, 1098-1102DOI: (10.1067/mva.2003.184) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 A-D, Four types of crossed renal ectopia. (Reprinted from McDonald JH, McClellan DS, Am J Surg 1957;93:995-1002, with permission from Excerpta Medica, Inc.). Journal of Vascular Surgery 2003 37, 1098-1102DOI: (10.1067/mva.2003.184) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions