HORSESHOE KIDNEY

Autor: JUDD, EDWARD S., BRAASCH, WILLIAM F., SCHOLL, ALBERT J.
Zdroj: JAMA: Journal of the American Medical Association; October 1922, Vol. 79 Issue: 15 p1189-1196, 8p
Abstrakt: The correct diagnosis of various renal anomalies often materially affects the surgical prognosis, especially in cases of horseshoe kidney. The abnormal structural relations, the unusual attachments, and the unrotated position of the renal pelvis require a surgical approach different from that employed in dealing with normally situated kidneys. The numerous and anomalous blood vessels, and the fixity and location of the renal mass necessitate an accurate anatomic recognition of the condition for the carrying out of any successful surgical procedure.Although the horseshoe kidney may function normally, owing to its unusual location and deficient pelvic drainage, it is relatively vulnerable to disease and trauma. It is not infrequently discovered during exploration for other abdominal conditions and at necropsy. A patient with a horseshoe kidney may live the normal length of life. Beyer1 collected ten cases in which the patients lived from sixty-three to seventy-nine years. Of 320 cases collected
Databáze: Supplemental Index