Horseshoe kidney with growth retardation: Don't forget Turner syndrome

Headnote

SUMMARY: Arslansoyu-Çamlar S, Soylu A, Abaci A, Türkmen MA, Ülgenalp A, Kavukçu S. Horseshoe kidney with growth retardation: Don't forget Turner syndrome. Turk J Pediatr 2016; 58: 227-229.

Horseshoe kidney is the most frequent renal fusion anomaly that is usually asymptomatic and isolated malformation. However it can be seen with various syndromes and chromosomal anomalies. It was reported that 15-35% of Turner syndrome cases (TS) also display horseshoe kidney condition. TS is a chromosomal anomaly that had been characterized by delayed puberty, short body height and gonadal dysgenesis. In this report a five-year-old girl with horseshoe kidney, which has growth retardation during follow-up as only symptom of Turner syndrome.

Key words: horseshoe kidney, growth retardation, Turner syndrome.

Horseshoe kidney is the most frequent renal fusion anomaly with a rate of 1/500 healthy births1. It is usually asymptomatic and an isolated malformation. However it can be seen with various syndromes and chromosomal anomalies. It was reported that 15-35% of Turner syndrome cases (TS) also display horseshoe kidney condition2,3. TS is a chromosomal anomaly that had been characterized by delayed puberty, short body height and gonadal digenesis. Its rate of occurrence is 1/25 004.

Herein we report a five-year-old girl with growth retardation and horse shoe kidney as the only symptoms of Turner sydrome.

Case Report

A ten-month-old girl was administered for recurrent urinary tract infection. She was born 3050 g by cesarean delivery. Her parents were not consanguineous. Physical examination revealed a body weight of 8.3 kg (25-50 p), a height of 69 cm (25-50 p) and a blood pressure of 90/40 mmHg. Other systems' assessment did not show any pathology or a dysmorphic anomaly. Laboratory examination revealed normal whole blood count, serum biochemistry and urine analysis. Urinary ultrasound was reported as normal. The voiding cystourethrography did not reveal any vesicourethral reflux. DMSA-Tc 99m scintigraphy revealed a 35% right and 65% left orientation with closer kidneys near inferior poles. As lower urinary tract infections continued another ultrasonography was done when the patient...