Harwell Jacob, Abouzaid Kamal A, Imam Ahmad, Petrosyan Arpineh, Niknam Janan, Otten Hannah, Giresh Krithika, Gangodkar Sakshi A
Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Anatomical Sciences, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Cureus. 2025 Apr 2;17(4):e81604. doi: 10.7759/cureus.81604. eCollection 2025 Apr.
This report describes a rare cadaveric case of a horseshoe kidney (HSK), a congenital anatomical anomaly characterized by fusion of the right and left kidneys. A distinct soft tissue band was identified joining the inferior poles of both kidneys, positioned inferior to the inferior mesenteric artery. The renal pelvises and ureters exhibited abnormal origin and course, which may increase the risk of compression and urinary tract obstruction. Additionally, accessory renal arteries supplying the inferior poles of the kidneys were identified and described. Measurements were taken to assess the dimensions of the connecting tissue band and the spatial relationship of the various relevant structures. This case highlights the rarity of the HSK and its associated anatomical variations and discusses potential implications such as urinary tract obstructions, infections, and kidney stone formation. A thorough understanding of these anomalies is critical for accurate diagnosis, effective management, and improving clinical outcomes in patients with HSKs. The literature reviewed in this case underscores the importance of recognizing such variations for better patient care and treatment strategies.
本报告描述了一例罕见的马蹄肾尸体病例，马蹄肾是一种先天性解剖异常，其特征为左右肾融合。发现一条明显的软组织带连接双侧肾脏的下极，位于肠系膜下动脉下方。肾盂和输尿管的起源及走行异常，这可能会增加受压和尿路梗阻的风险。此外，还发现并描述了供应肾脏下极的副肾动脉。进行了测量以评估连接组织带的尺寸以及各种相关结构的空间关系。该病例凸显了马蹄肾的罕见性及其相关的解剖变异，并讨论了诸如尿路梗阻、感染和肾结石形成等潜在影响。全面了解这些异常对于马蹄肾患者的准确诊断、有效管理以及改善临床结局至关重要。本病例中所回顾的文献强调了认识此类变异对于更好地进行患者护理和制定治疗策略的重要性。
