Ren sinister
The left kidney is bean-shaped and sits under the 1st-3rd lumbar transverse processes, more caudal and ventral than the right kidney. It can be palpated per rectum in adult horses. The kidneys collectively contain about 4 million nephrons and play a critical role in electrolyte balance, blood pressure regulation, and erythropoietin production.
The left kidney is the only kidney palpable per rectum. Enlargement, pain, or irregular surface suggests pathology.
Formation of calcium carbonate stones in the kidney. Less common than bladder stones.
Sudden loss of kidney function, often from toxins (NSAIDs, aminoglycosides) or severe dehydration.
Progressive, irreversible loss of kidney function over months to years.
Bacterial infection of the kidney, usually ascending from the bladder.
Formation of calcium carbonate stones in the kidney. Less common than bladder stones. Signs include: Recurrent colic; blood in urine; weight loss; detected on ultrasound
Sudden loss of kidney function, often from toxins (NSAIDs, aminoglycosides) or severe dehydration. Signs include: Decreased urine output; lethargy; inappetence; elevated creatinine and BUN; edema
Progressive, irreversible loss of kidney function over months to years. Signs include: Weight loss; poor coat; increased water intake and urination; dental tartar; ventral edema
Bacterial infection of the kidney, usually ascending from the bladder. Signs include: Fever; painful urination; cloudy/foul urine; weight loss; pain on rectal palpation of left kidney
The left kidney is the only kidney palpable per rectum. Enlargement, pain, or irregular surface suggests pathology.
See the Left Kidney on our interactive 3D horse model. Open 3D Model