Abstract
Horseshoe kidney is rare non-fatal congenital abnormality of renal development. This conditions usually asymptomatic and in various cases it discovered incidentally. The incidence of horseshoe kidney is approximately 1 in 500 in the average population and this anamoly is found in men than in female. Horseshoe kidney means two kidneys joined together and form the U shape like a horseshoe. It is also known as Renal Fusion. The most problem of horseshoe kidneys is nephrolithiasis. There is no cure for horseshoe kidneys, but supportive treatments can treat symptoms. Patient medical history : The Patient has come with the chief complaints of breathing difficulty, swelling, facial puffiness for 15 days, abdominal distension, repeated episode of vomiting blood (hematemesis), and melena. The Patient had a history of hypothyroidism for two years and cryptogenic cirrhosis of the liver with portal hypertension for one year. Diagnostic evaluation : Endoscopy procedure done to screen esophageal varices, there are large esophageal varices and severe portal hypertensive gastropathy USG: cirrhosis of liver, mild splenomegaly. Echo: Severe portal hypertension, mild Tricuspid Regurgitation with Right Ventricular Systolic Pressure, Mildly dilated Right Atrium and Right Ventricle. Therapeutic intervention : Provide beta-blockers, antibiotics, antiemetics, vitamin supplements, biliary agents, and antidiuretic used to treat the client, but the Patient’s overall health was deteriorating. Conclusion : Treatment and care for horseshoe kidney disease on time will help to prevent further life-threatening consequences.
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