马蹄肾伴发肾母细胞瘤是先天性肾畸形与肾脏恶性肿瘤同时并存的疾患。我院曾收治1例,现报告如一下: 患儿:男性。5岁,住院号53638。因反复肉眼血尿、尿频、尿痛11天,腹痛1天,于1984年8月23日以急性肾炎收入小儿科。临床所见:T37.3℃,P130次/分,R20次/分,BP17.3/10.7kPa。发育正常,营养中等,面色苍白。腹部膨隆,右下腹可扪及约8×5×3cm包块,边界不清,轻度压痛,无明显肌紧张及反跳痛,叩呈鼓音,无移动性浊音,肠鸣音弱。次日上午上述症状稍加重。化验:血WBC15×10~9/L,N60％,L40％;尿呈酱油色,混浊,蛋白++,RBC+++/HP,WBC偶见。腹部平片因肠胀气双肾未显影。经补液、抗感染治疗无效。下午,全腹肌紧张尤以右半腹为著,拒按,肠 Horseshoe kidney associated with nephroblastoma is a congenital kidney malformations and malignant tumors coexist disease. Our hospital has admitted a case, the report as follows: Children: men. 5 years old, hospital number 53638. Due to repeated gross hematuria, frequent urination, dysuria 11 days, 1 day abdominal pain, on August 23, 1984 with acute nephritis income pediatrics. Clinical findings: T37.3 ℃, P130 beats / min, R20 beats / min, BP17.3 / 10.7kPa. Normal development, moderate nutrition, pale. Abdominal bulge, palpable right lower quadrant palpable about 8 × 5 × 3cm mass, the boundary is unclear, mild tenderness, no significant muscle tension and rebound tenderness, knocking drum sounds, no moving dullness, bowel sounds weak. The next morning the above symptoms a little heavier. Laboratory: blood WBC15 × 10 ~ 9 / L, N60%, L40%; urine was soy sauce color, turbidity, protein ++, RBC +++ / HP, WBC occasionally. Abdominal plain film due to flatulence kidneys undeveloped. After rehydration, anti-infective therapy is invalid. Afternoon, the whole abdominal muscle tension especially right for the abdomen, refused to press, intestines