Horseshoe kidney structural abnormalities of the kidney disease , the majority of patients with horseshoe kidney clear understanding that some life to the effect that it also makes horseshoe kidney disease has been increasing , leading to some complications. Therefore, understanding horseshoe kidney , horseshoe kidney understand the majority of the relevant considerations in patients with horseshoe kidney has a very important role.
Etiology and pathology
Both sides of the upper pole of the kidney or lower pole blending synthetic horseshoe kidney . Horseshoe kidney occurs in the early embryo , the embryo is in the umbilical artery on both sides of the kidney is tightly squeezed between the fusion results.
Clinical
Most patients due to nerve plexus, blood circulation or ureter oppressed and hair symptoms. There are upper abdomen, umbilical or lower back pain, chronic constipation, and urinary symptoms , such as chronic nephritis, pyelonephritis , hydronephrosis and calculi.
Imaging Findings
1 , KUB and angiography: According to bilateral renal shadow near the spine and lows , the long axis parallel to the upper pole or lower pole tilted outwards inwards close to suspect horseshoe kidney , sometimes visible connecting the lower pole renal isthmus contours. Urography can confirm the diagnosis , the most obvious signs is the next destination point calyx centerline axis upper calyceal renal pelvis inward outward bottom inverted " eight " shape, ureter closer to the midline .
2, B Chao: clearly shows two lower pole renal connected across the inferior vena cava and the aorta ahead.
3, CT: can directly display the two lower pole renal fusion unit that crossed the aortic isthmus in front , and because the kidney malrotation , renal calyces located in front of the ureter crossed the isthmus on both sides of the front down. However, the general location of horseshoe kidney lower lower position can be scanned to confirm the diagnosis .
4, MR and radionuclide is also available from most shows two coronal lower pole renal fusion .
Horseshoe kidney complications
1 , horseshoe kidney may be due to repeated infections and poor urine flow and kidney stones .
2 , horseshoe kidney can cause urinary obstruction , urinary obstruction can cause hydronephrosis, uremia bilateral obstruction may occur .
Horseshoe kidney treatment
Because horseshoe kidney is a congenital kidney abnormalities , so horseshoe kidney treatment should be symptomatic treatment . It is important to use traditional Chinese medicine to increase the amount of blood flow , increasing the body's micro- circulation and prevent urinary obstruction . As the traditional Chinese medicine oral irritation of the gastrointestinal tract , is not conducive to traditional Chinese medicine absorption , penetration of Micro-Chinese Medicine recommended treatment .
