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Horseshoe Kidney

Horseshoe kidney is a condition some children are born with where their kidneys are connected, or fused at the base. This fusion causes them to form a U-shape, like a horseshoe. This condition is also referred to as renal fusion. 

Renal fusion happens to about 1 out of every 500 children. While it can't be cured, there are many supportive treatments for symptoms. Other medical complications can also be treated. 

Causes & Symptoms of Horseshoe Kidney

Horseshoe kidney develops in the womb when the kidneys move into place. No one really knows what causes horseshoe kidney, but the problem happens before a baby is born. 

Genetic Causes

Some genetic disorders that can contribute to Horseshoe Kidney include: 

  • Turner Syndrome
  • Trisomy 18 (Edwards Syndrome) 
  • Down Syndrome
  • Trisomy 13 (Patau Syndrome) 

These conditions often have other obvious symptoms. Horseshoe kidney on its own is not a reason to suspect your child has one of these conditions. 

Symptoms & Complications

Some common symptoms include: 

  • Tummy pain
  • Nausea 
  • Urinary tract infections
  • Kidney stones

Less commonly, children may experience: 

  • Kidney cancer
  • Polycystic kidney disease
  • Hydronephrosis
  • Wilms tumor
  • Hydrocephaly
  • Vesicoureteral reflux

Horseshoe Kidney Diagnosis & Treatment

At UVA Health Children's, your child’s doctor may perform or recommend:

  • Urinalysis
  • Blood tests
  • Kidney ultrasound
  • Voiding cystourethrogram
  • Intravenous pyelogram

Most children with horseshoe kidney don't need treatment, and there is no cure. Treatment is aimed at controlling symptoms of other complications that may develop.

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