Horseshoe kidney - IVU

Case contributed by Fateme Hosseinabadi
Diagnosis almost certain

Presentation

Flank pain

Patient Data

Age: 20 Years
Gender: Male

IVU

Fluoroscopy

On the scout image, there is a soft tissue mass on either side of the midline with a central isthmus, following contrast injection the orientation of the pelvicalyceal system is clearly outlined. Lower pole of kidneys are closest to midline, which is the reverse of normal. Both kidneys appear rotated and lower poles are fused with formation of isthmus at the level of L3-L4.

Case Discussion

This is a case of horseshoe kidney.

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