Horseshoe kidney natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated | The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated urological problems. | ||
==Natural History, Complications, and Prognosis== | ==Natural History, Complications, and Prognosis== | ||
===Natural History=== | ===Natural History=== | ||
*The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated | *The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated urological problems. | ||
===Complications=== | ===Complications=== | ||
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===Prognosis=== | ===Prognosis=== | ||
*Prognosis is generally excellent in majority of the patients,without any intervention.<ref name="pmid13828436">{{cite journal| author=GLENN JF| title=Analysis of 51 patients with horseshoe kidney. | journal=N Engl J Med | year= 1959 | volume= 261 | issue= | pages= 684-7 | pmid=13828436 | doi=10.1056/NEJM195910012611402 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13828436 }}</ref><ref name="pmid17858404">{{cite journal| author=Culp OS| title=Treatment of Horseshoe Kidneys. | journal=Ann Surg | year= 1944 | volume= 119 | issue= 5 | pages= 777-87 | pmid=17858404 | doi= | pmc=1617854 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17858404 }}</ref> | *Prognosis is generally excellent in majority of the patients,without any intervention unless there is no associated complication.<ref name="pmid13828436">{{cite journal| author=GLENN JF| title=Analysis of 51 patients with horseshoe kidney. | journal=N Engl J Med | year= 1959 | volume= 261 | issue= | pages= 684-7 | pmid=13828436 | doi=10.1056/NEJM195910012611402 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=13828436 }}</ref><ref name="pmid17858404">{{cite journal| author=Culp OS| title=Treatment of Horseshoe Kidneys. | journal=Ann Surg | year= 1944 | volume= 119 | issue= 5 | pages= 777-87 | pmid=17858404 | doi= | pmc=1617854 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17858404 }}</ref> | ||
==References== | ==References== | ||
Revision as of 04:27, 19 January 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated urological problems.
Natural History, Complications, and Prognosis
Natural History
- The majority of patients with horseshoe kidney are asymptomatic and incidentally detected during renal imaging.However the outcome depends on associated urological problems.
Complications
- Common complications of [disease name] include:[1]
- Pelviureteric junction obstruction leading to hydronephrosis
- Vesicoureteric reflux
- Renal stones
- Urinary tract infection
- Increased risk of nephroblastoma and an approximately threefold to fourfold higher risk for cancer of the renal pelvis.[2]
- Increased risk for extrarenal disorders that has been associated with horseshoe kidney are gastrointestinal tract and vertebral malformations, CNS disorders and cardiovascular disease.[3]
- Increasing association with Wilm's tumour
- Blunt traumatic injury as low positioning prevents protection by ribs[4]
Prognosis
- Prognosis is generally excellent in majority of the patients,without any intervention unless there is no associated complication.[5][6]
References
- ↑ Shah HU, Ojili V (2017). "Multimodality imaging spectrum of complications of horseshoe kidney". Indian J Radiol Imaging. 27 (2): 133–140. doi:10.4103/ijri.IJRI_298_16. PMC 5510309. PMID 28744072.
- ↑ . 2012. doi:10.1016/C2009-0-41746-X. Missing or empty
|title=(help) - ↑ Je BK, Kim HK, Horn PS (2015). "Incidence and Spectrum of Renal Complications and Extrarenal Diseases and Syndromes in 380 Children and Young Adults With Horseshoe Kidney". AJR Am J Roentgenol. 205 (6): 1306–14. doi:10.2214/AJR.15.14625. PMID 26587938.
- ↑ Pascual Samaniego M, Bravo Fernández I, Ruiz Serrano M, Ramos Martín JA, Lázaro Méndez J, García González A (2006). "[Traumatic rupture of a horseshoe kidney]". Actas Urol Esp. 30 (4): 424–8. PMID 16838618.
- ↑ GLENN JF (1959). "Analysis of 51 patients with horseshoe kidney". N Engl J Med. 261: 684–7. doi:10.1056/NEJM195910012611402. PMID 13828436.
- ↑ Culp OS (1944). "Treatment of Horseshoe Kidneys". Ann Surg. 119 (5): 777–87. PMC 1617854. PMID 17858404.