Jdaini Ahmed, El Moudane Anouar, El Farhaoui Hammou, Kouiss Youssef, El Alaoui Anass, Barki Ali
Department of Urology, Mohammed VI University Medical Center, Mohammed The First University Oujda, Morocco.
Department of Urology, Mohammed VI University Medical Center, Mohammed The First University Oujda, Morocco.
Int J Surg Case Rep. 2023 Aug;109:108607. doi: 10.1016/j.ijscr.2023.108607. Epub 2023 Aug 2.
The horseshoe kidney is a malformation of the upper urinary tract where the kidney is U-shaped. This condition results the fusion of the lower poles of the right and left kidneys on the midline.
We report a case of pyelonephritis revealing a rare form of horseshoe kidney with fusion of the lower pole of the right kidney with the upper pole of the left kidney, initially treated with urine drainage.
Multiple etiological conditions may contribute to the development of a horseshoe kidney, in particular: the genetic/chromosomal predisposition, intrauterine environment and structural factors affecting kidney development and migration.
Horseshoe kidneys reveal a veritable range of anatomical and embryological peculiarities, always suspect pyelonephritis on a horseshoe kidney in the presence of febrile abdominal pain in a patient with malformations.
马蹄肾是上尿路的一种畸形，肾脏呈U形。这种情况导致左右肾下极在中线处融合。
我们报告一例肾盂肾炎病例，该病例显示出一种罕见的马蹄肾形式，即右肾下极与左肾上极融合，最初采用尿液引流治疗。
多种病因可能导致马蹄肾的发生，特别是：遗传/染色体易感性、子宫内环境以及影响肾脏发育和迁移的结构因素。
马蹄肾呈现出一系列真正的解剖学和胚胎学特性，对于有畸形的患者，在出现发热性腹痛时，始终要怀疑马蹄肾合并肾盂肾炎。
