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Horseshoe Kidney. By: Cecilia Lau Summer 2010. Kidney. Normal fetal development kidneys move into their normal position in the flank area (above the waist) Horseshoe Kidney kidneys rise from the pelvic area, they fuse together at the lower end or base, forming a "U" shape at the isthmus
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Horseshoe Kidney By: Cecilia Lau Summer 2010
Kidney • Normal fetal development • kidneys move into their normal position in the flank area (above the waist) • Horseshoe Kidney • kidneys rise from the pelvic area, they fuse together at the lower end or base, forming a "U" shape at the isthmus • 1/3 of individuals • cardiovascular system • CNS • genitourinary system
Horseshoe Kidney • most common disorders seen with horseshoe kidney • Turner syndrome • Trisomy 18
Complications • kidney stones • hydronephrosis • Symptoms • abdominal mass, poor weight gain, decreased urination, urinary tract infection • Wilm's tumor • renal cancer • hydrocephaly and/or spina bifida • various cardiovascular, gastrointestinal, or skeletal problems • agonizing flank pain • Restlessness, sweating, nausea and/or vomiting, blood in urine, urinary frequency, chills, fever, cloudy urine • 1/3 asymptomatic
diagnosis • renal ultrasound • voiding cystourethrogram (VCUG) • urine tests • blood tests
Treatment • No symptoms • Supportive treatment: • age, overall health, and medical history • the extent of the disease • antibiotics (to treat an underlying infection) • surgical intervention (for symptomatic kidney stones) • MG