TRANSPLANTATION OF ADULT AND PEDIATRIC HORSESHOE KIDNEYS

Background: The incidence of horseshoe kidneys is between 1 in 300 and 1 in 1600. Horseshoe kidneys may be either transplanted into two reci pients after division of the kidney, or used for en bloc transplantati on into one recipient. Methods: We report two cases of adult-to-child and child-to-adult transplantation of horseshoe kidneys. Embryology an d associated abnormalities are outlined, and previous case reports rev iewed. Results: One transplant was successful and one transplant faile d due to an unrecognized C peptide deficiency. Conclusions: Horseshoe kidneys are acceptable as donor organs in renal transplantation.