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Horseshoe kidney

Case contributed by Ian Bickle
Diagnosis certain

Presentation

CT performed for assessment of hepatic enzyme derangement.

Patient Data

Age: 44
Gender: Male
ct

Single kidney joined at the lower poles by an isthmus of tissue.

Fatty liver.

No other abnormality.

Case Discussion

Horseshoe kidney is one form of several congenital renal anomalies. It is often an incidental finding.

Its appearance is classic on CT and confirmatory tests are not necessary.

An increased incidence of urolithiasis, injury in trauma and obstruction is associated with horseshoe kidney.

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