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Horseshoe kidney--a case report.

Madhur Gupta1, Ajay Kumar Pandey, Neeru Goyal

  • 1Department of Anatomy, Postgraduate Institute of Medical Education and Research, Chandigarh, India 160012. madhurg1@rediffmail.com

Nepal Medical College Journal : NMCJ
|June 28, 2007
PubMed
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Horseshoe kidney, a common congenital kidney anomaly, was observed in a male cadaver. This case highlights anatomical variations and potential microscopic changes in horseshoe kidneys.

Area of Science:

  • Anatomy
  • Urology
  • Pathology

Background:

  • Congenital anomalies of the kidney can lead to renal failure later in life.
  • Horseshoe kidney is the most common renal fusion anomaly, affecting approximately 1 in 400 births.
  • This condition is more prevalent in males.

Observation:

  • A horseshoe kidney was identified in a 32-year-old male cadaver.
  • The anomalous kidney was situated lower than normal, with fused lower poles at the L4 vertebral level.
  • Vascular and pelvic structures showed specific variations, particularly on the left side.

Findings:

  • Renal arteries originated from the aorta, with two accessory arteries noted.
  • The right kidney's venous drainage was typical, while the left exhibited multiple tributaries.

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  • Microscopic examination revealed reduced glomeruli and increased glomerular space in the left kidney, with some atrophy.

    • Implications:

    • This case underscores the anatomical variability of horseshoe kidneys.
    • Understanding these variations is crucial for surgical and diagnostic procedures.
    • Microscopic findings suggest potential functional implications requiring further investigation.