Renal autotransplantation combined with direct pyelocystostomy for a doubled renal artery aneurysm of a stone forming kidney.
A 35-yr-old female patient presented with recurrent left-sided calcium oxalate nephrolithiasis in combination with equilateral doubled renal artery aneurysm. Approximately two-thirds of the cumulative renal function were scintigraphically calculated in favour of the affected kidney. After a left-sided nephrectomy, "workbench surgery" with resection of both aneurysms was performed. The renal artery was reconstructed with contralateral internal-iliac artery graft. To allow passage of renal calculi, the kidney was transplanted in the right iliac fossa combined with a wide pyelocystostomy. The patient recovered uneventfully and presented with good physical health and regular serum creatinine 1 yr postoperatively.
Fechner
Guido
G
Department of Urology, University of Bonn, Germany.
Hauser
Stefan
S
Müller
Stefan C
SC
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000601:surgery*; D003559:Cystostomy; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D012077:Renal Artery