A Case of Horseshoe Kidney with Focal Segmental Glomerulosclerosis

Korean Journal of Nephrology 2008;27(1):122-126.

Kyun Sang Lee, M.D.1, Soo Wan Kim, M.D.1, Woo Kyun Bae, M.D.1 Jeong Woo Park, M.D.1, Eun Hui Bae, M.D.1 , Seong Kwon Ma, M.D.1 Nam Ho Kim, M.D.1, Jae Hyuk Lee, M.D.2 and Ki Chul Choi, M.D.1

Departments of Internal Medicine1 and Pathology²
Chonnam National University Medical School, Gwangju, Korea

증례 : A Case of Horseshoe Kidney with Focal Segmental Glomerulosclerosis

Kyun Sang Lee, M.D.1, Soo Wan Kim, M.D.1, Woo Kyun Bae, M.D.1 Jeong Woo Park, M.D.1, Eun Hui Bae, M.D.1 , Seong Kwon Ma, M.D.1 Nam Ho Kim, M.D.1, Jae Hyuk Lee, M.D.2 and Ki Chul Choi, M.D.1

Departments of Internal Medicine1 and Pathology2, Chonnam National University Medical School, Gwangju, Korea

Abstract

An 18-year-old man presented as marked proteinuria on urinalysis. Abdominal ultrasonography and computed tomography indicated the presense of horseshoe kidney without any other abnormalities. A percutaneous computed tomography (CT) guided renal biopsy was done. Of 6 glomeruli obtained, global sclerosis was found in 2. Some segments of affected glomerulus showed peripheral solidifications and focal hyalinosis, which are Periodic acid-Schiff and Masson Trichrome stain positive. The diagnosis of horseshoe kidney with focal segmental glomerulosclerosis (FSGS) was made by clinical and pathological findings. The authors report here a case of FSGS occurring in horseshoe kidney which has not yet been reported in Korea.

Key Words: Glomerulosclerosis, Focal segmental, Glomerulonephritis