An Autopsy Case of Horseshoe Kidney
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概要
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An autopsy case of horseshoe kidney in a 76-year-old Japanese male cadaver is reported. The kidney was inferiorly convexed as a result of fusion at the inferior poles of the original kidneys. It possessed certain peculiarities representing the most frequent type, such as a lower position than the normal kidney, ventral orientation of the hilus, passage of the ureter on its ventral surface and the presence of surplus arteries.<BR>Two other malformations were observed: 1) the left testicular vein divided into two branches in its course and drained into the left renal and the suprarenal veins, and 2) invasion of the abdominal aorta was seen.<BR>The arterial distribution, not only of the surplus arteries but also the original renal arteries, may represent a developmentally incomplete pattern. The embryonic stage of the arterial development was apparently coincident with the stage of migration of the renal anlages from the pelvic to the abdominal position through the arterial crotch of the iliac or the umbilical arteries.<BR>In view of the anomalous arterial distribution, the authors support Lewis and Papez's theory regarding the developmental mechanism of horseshoe kidney
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