PDF(Pubmed)
Abstract：
Abnormalities in renal fusion represent a subset of congenital anomalies of the kidneys and urinary tract (CAKUT). Horseshoe kidneys (HSKs) are the fusion of kidneys at their lower poles. It is the most common form of CAKUT. Symptoms are usually subtle. The diagnosis is usually made incidentally during childhood. Rarely does an HSK become symptomatic later in life. We present the case of an 88-year-old female with a history of HSK who presented to the emergency department (ED) with a three-week history of left-sided flank pain, intermittent nausea, and reduced urine output. Her inpatient workup included imaging that revealed an HSK and bilateral hydronephrosis, which was more prominent on the left. The onset of symptoms for an HSK late in life is extremely rare.
摘要：
肾脏融合异常代表肾脏和泌尿道（CAKUT）的先天性异常的一部分。马蹄形肾脏（HSKs）是肾脏在其下部两极的融合。它是最常见的形式的CAKUT。症状通常很微妙。诊断通常是在儿童时期偶然做出的。HSK很少在以后的生活中出现症状。我们介绍了一名88岁的女性，有HSK病史，她到急诊科（ED）就诊，有三周的左侧腹部疼痛史，间歇性恶心,尿量减少.她的住院检查包括影像学检查显示HSK和双侧肾积水，左边更突出。在生命后期出现HSK症状极为罕见。
