Horseshoe kidney

Case contributed by Dr Muhammad Essam

Presentation

Known HCV postive case

Patient Data

Age: 45 years
Gender: Male
CT

The lower poles of both kidneys are seen pointing medially and seen fused across the midline by an isthmus of functioning renal tissue, with antriorly malrotated hila denoting horse shoe kidneys. Normal parenchymal thickness & density of both kidneys with no stones. Mild back-pressure changes are noted. 

Advanced cirrhotic liver features with uneven wavy nodular surface, hypertrophied left lobe, prominent caudate lobe and widened interlobar fissure. No definite focal lesions or areas of pathological parenchymal enhancement.

Splenomegaly.

Dilated porto-systemic collaterals are seen at the splenic hilum and along the lesser curvature of the stomach.

Case Discussion

Horseshoe kidneys are a relatively common incidental finding on imaging. 

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Case information

rID: 18142
Case created: 12th Jun 2012
Last edited: 23rd May 2017
System: Urogenital
Inclusion in quiz mode: Included

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