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October 14, 1911


Author Affiliations


JAMA. 1911;LVII(16):1262-1263. doi:10.1001/jama.1911.04260100088004

The horseshoe kidney, while rare, is sufficiently common to require no especial comment. Those anomalous conditions in which the kidneys are completely fused into one mass are of much less common occurrence. To this condition, the Kuchinniere of the Germans, Rokitansky applied the term "solitary kidney," to differentiate it from the true single, or "unsymmetrical" kidney.

Morris, reviewing the statistical reports of four of the largest of the London hospitals, found that while the "horse-shoe" kidney was present once in each 1,000 autopsies, the fused kidney, not of the "horseshoe" variety, was found only once in 15,908 necropsies.

Subparietal rupture of the kidney is comparativelyrare. Connell, in a paper read before the Western Surgical Association,1 collected from all sources a total of 841 cases.

Our case of subparietal rupture of a "solitary" kidney is, we believe, unique in the literature.

History  Our patient was a white man, 30 years