Abdominal Aortic Aneurysm Associated with Left Pelvic Kidney

Abstract

We herein present a rare case of an abdominal aortic aneurysm (AAA) in association with a left pelvic kidney. Preoperatively, a 3D-CT demonstrated a left pelvic kidney and an aberrant left renal artery originating from the aneurysm itself. We replaced the abdominal aorta with a graft, and reconstructed the aberrant left renal artery on the graft. During surgery, the left kidney was perfused with cold Ringer’s acetate. The patient had an uneventful postoperative course showing no signs of worsening renal function. A postoperative 3D-CT demonstrated the patent left renal artery reconstructed on the graft, and showed no signs of renal infarction. In cases of AAA associated with a pelvic kidney and an aberrant renal artery, 3D-CT is essential in assessing the origin and course of the aberrant renal artery. During surgery, reconstruction of the aberrant renal artery and perfusion of the kidney with cold Ringer’s acetate can preserve renal function.