A Unique Case of Anal Atresia with Vestibular Anus, Colorectal Cancer and Renal Cancer in Horseshoe Kidney in Adult Woman: A Case Report and Literature Review

Author Info

Denise Gambardella Luigino Borrello Maria Teresa Caruso Francesco Loria Manfredo Tedesco

Corresponding Author

Denise Gambardella
Department of Medical and Surgical Sciences (Director Giuseppe Sammarco), University of Catanzaro, Catanzaro, Italy

A B S T R A C T

Introduction: Colorectal cancer is a very common malignancy, however the association with kidney cancer is very unusual, even more so if kidney cancer occurs on a horseshoe kidney. Horseshoe kidney is a congenital malformation in which the kidneys appear fused. It is often accompanied by abnormalities of the ureteropelvic and vascular systems, so patients in need of surgery should be carefully evaluated. Materials and Methods: A 64-year-old woman came to our observation with abnormalities of the perineum such as the "vestibular anus", horseshoe kidney, kidney cancer and colorectal cancer. She underwent left open hemicolectomy and right polar resection of the horseshoe kidney. Results: The patient was discharged on the sixth operating day without complications. At the follow-up 54 months after surgery, she was negative for distant metastasis and local disease recovery. Conclusion: From a literature review this is the first case report in a patient with these four associated comorbidities. Preoperative evaluation in these patients by CT is important to evaluate the relation between the nervous, vascular and urinary structures to avoid iatrogenic injury.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Fri 13, Nov 2020
Accepted: Mon 23, Nov 2020
Published: Fri 04, Dec 2020

Copyright

© 2023 Denise Gambardella. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.GSCR.2020.02.08