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Article
March 1933

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ROANOKE, VA.; ANTWERP, BELGIUM; LOS ANGELES; SEATTLE; NEW YORK

Arch Surg. 1933;26(3):522-538. doi:10.1001/archsurg.1933.01170030179013
Abstract

KIDNEY 

Anomalies.  —Friberg1 reported a case of double kidney in which there were hydronephrosis and a stone in one of the renal pelves. The diagnosis was made before operation. Heminephrectomy was performed, after which the patient recovered.Rumpel2 described a case of a one-sided "Langniere," so-called crossed dystrophy, in which the entire fused renal mass was on one side. The lower kidney was pyonephrotic. A median line abdominal incision was made; the destroyed renal segment was resected and removed transperitoneally.Pierson3 stated that true unilateral fusion of the kidneys is one of the rarest types of renal anomaly. Morris found only 1 case in 15,908 postmortem examinations, and Steward and Lodge reported 1 in 6,500. In some cases the condition has been observed at birth and in the eighth decade, but it occurs most frequently in the third decade.The symptoms of this anomaly arise from its

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