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Transplantation of adult and paediatric horseshoe kidneys
B N Thomson1, D M Francis, R J Millar
1Department of Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Abstract
Background:
The incidence of horseshoe kidneys is between 1 in 300 and 1 in 1600. Horseshoe kidneys may be either transplanted into two recipients after division of the kidney, or used for en bloc transplantation into one recipient.
Methods:
We report two cases of adult-to-child and child-to-adult transplantation of horseshoe kidneys. Embryology and associated abnormalities are outlined, and previous case reports reviewed.
Results:
One transplant was successful and one transplant failed due to an unrecognized C peptide deficiency.
Conclusions:
Horseshoe kidneys are acceptable as donor organs in renal transplantation.