Horse-shoe Kidney-Approach to Treatment.
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Date
1999-01
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Abstract
Horse-shoe kidney is a congenital anomaly which is associated with calculous formation and
pelviureteric junction obstruction due to the abnormal lie of the pelvis and ureters. The patient
presents as pain in abdomen, recurrent urinary tract infection, lump in abdomen, haematuria and
pyuria. Division of the isthmus and simultaneous nephropexy corrects the lie of the pelvis and
ureters and is recommended as the surgery for symptomatic horse-shoe kidney. If the pelviureteric
junction is dependent and funnel shaped, simple nephropexy in lower polar diversion position will
suffice but if there is high insertion of the ureter, some form of pyeloplasty is mandatory. A
contralateral nephropexy, at a later stage, is also recommended.
Description
Keywords
Horse-shoe kidney, Symphysiotomy, Urolithiasis, Pyeloplasty, Nephropexy
Citation
Gupta R L, Saxena N, Kumar Sharad, Mahajan Monika, Mahajan Deepak, Sonika. Horse-shoe Kidney-Approach to Treatment. JK Science Journal of Medical Education and Research. 1999 Jan-Mar; 1(1): 22-25.