Bhandarkar Kailas P, Kittur Dinesh H, Patil Santosh V, Jadhav Sudhakar S
Department of Paediatric Surgery, Sushrut Jadhav Kinderchirurgie Charitable Trust's Paediatric Surgery Centre and PG Institute, Sangli, Maharashtra, India.
Afr J Paediatr Surg. 2018 Apr-Jun;15(2):104-107. doi: 10.4103/ajps.AJPS_55_17.
Horseshoe kidney (HSK) is a common renal fusion anomaly. We undertook this study to discuss various anomalies associated with HSKs. The objective of the study is to study various anomalies associated with HSKs and to assess the need for surgical intervention in patients with these anomalies.
This is a retrospective cohort study of twenty patients who presented to our institute with the diagnosis of HSKs. The data were analysed with regard to age at presentation, symptoms, associated anomalies, investigations and surgical intervention.
Twenty patients were included in this study. They were referred either with a diagnosis of HSK or were diagnosed during investigations for symptoms and during workup for associated anomalies. Eleven patients were incidentally diagnosed and were asymptomatic, and there were no associated anomalies diagnosed in these patients. Nine patients were symptomatic and were diagnosed with various associated anomalies. Our results concur with recent literature review which suggests that nearly half of the patients with HSKs have associated anomalies. In the present series, all symptomatic patients with associated anomalies required surgical intervention.
HSKs being a common fusion anomaly, necessitates a prompt and thorough search of the search for any associated anomalies. Many of these anomalies may require surgical intervention.
马蹄肾（HSK）是一种常见的肾脏融合异常。我们开展这项研究以探讨与马蹄肾相关的各种异常情况。本研究的目的是研究与马蹄肾相关的各种异常，并评估这些异常患者是否需要手术干预。
这是一项对20例诊断为马蹄肾的患者进行的回顾性队列研究。对患者的就诊年龄、症状、相关异常、检查及手术干预等数据进行了分析。
本研究纳入了20例患者。他们要么因马蹄肾诊断前来就诊，要么在因症状进行检查或因相关异常进行检查时被诊断出马蹄肾。11例患者为偶然诊断且无症状，这些患者未诊断出相关异常。9例患者有症状，且被诊断出各种相关异常。我们的结果与近期文献综述一致，该综述表明近一半的马蹄肾患者有相关异常。在本系列研究中，所有有症状且伴有相关异常的患者均需要手术干预。
马蹄肾作为一种常见的融合异常，需要迅速且全面地检查是否存在任何相关异常。其中许多异常可能需要手术干预。
