Whitehouse G H
Clin Radiol. 1975 Jan;26(1):107-14. doi: 10.1016/s0009-9260(75)80024-9.
The urographic findings in 59 cases of horseshoe kidney are reviewed. Significant degrees of rotation are commoner and more pronounced in the left kidney in these cases than in the right kidney. This factor, rather than obliquity of the kidneys, is more likely to play a part in the development of upper urinary tract obstruction. Reversal of the normal direction of obliquity is not as common as is generally thought. The horseshoe kidney is, more often than not, mildly ectopic. Gross failure of ascent of the kidneys in the abdomen is uncommon. Evidence of pelvi-ureteric obstruction, especially hydronephrosis, occurred in just under half the cases. The reasons for this are discussed. The occurrence of other associated urinary tract anomalies, as well as acquired renal conditions, is considered.
回顾了59例马蹄肾的尿路造影表现。在这些病例中，显著程度的旋转在左肾比右肾更常见且更明显。与肾脏倾斜度相比，这一因素更有可能在上尿路梗阻的发生中起作用。正常倾斜方向的反转并不像通常认为的那么常见。马蹄肾往往轻度异位。肾脏在腹部上升严重失败并不常见。肾盂输尿管梗阻的证据，尤其是肾积水，在不到一半的病例中出现。讨论了其原因。还考虑了其他相关尿路异常以及获得性肾脏疾病的发生情况。
