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Horseshoe Kidney

What is a horseshoe kidney?

Horseshoe kidney occurs in about one in 500 children. It occurs during fetal development as the kidneys move into their normal position in the flank area (area around the side, just above the waist). With horseshoe kidney, however, as the kidneys of the fetus rise from the pelvic area, they fuse together at the lower end or base. By fusing, they form a "U" shape, which gives it the name "horseshoe."

One-third of individuals with horseshoe kidney will have at least one other anomaly or complication involving the cardiovascular system, the central nervous system, or the genitourinary system, such as the following:

Horseshoe kidney can occur alone or in combination with other disorders.

What are the symptoms of horseshoe kidney?

About one-third of children will have no symptoms. One-third of individuals with horseshoe kidney will have another anomaly or other complication involving the cardiovascular, nervous, or genitourinary system. Symptoms will vary depending upon which body system is involved. The symptoms of horseshoe kidney may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.

How is horseshoe kidney diagnosed?

In a child without symptoms, diagnosis or treatment may not be necessary. If your child is having any of the mentioned complications, your child's physician may order one or more of the following diagnostic tests:

Treatment for horseshoe kidney:

In a child without symptoms, treatment may not be necessary. If your child has complications, he/she may require supportive treatment, which means his/her symptoms will be treated, but there is no cure for the condition.

Specific treatment for horseshoe kidney will be determined by your child's physician based on:

Your child may be referred to an urologist (a physician who specializes in disorders and care of the urinary tract and the male genital tract) and/or a nephrologist (a physician who specializes in disorders or diseases of the kidney) for evaluation.

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Online Resources of Genitourinary & Kidney Disorders


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