Presentation
Follow up, known to have horseshoe kidney.
Patient Data
Horseshoe kidney with normal echogenicity containing six millimeters stone at the left side of the isthmus, but no hydronephrosis.
No free peritoneal fluid or apparent retroperitoneal adenopathy.
Case Discussion
This patient is known to have horseshoe kidney came for follow up, during ultrasound examination the kidneys had abnormal orientation. During evaluation of the retroperitoneal space, renal tissue was seen anteriorly to the aorta and was initially mistaken by lymph node enlargement such as may be seen in lymphoma or metastatic nodal enlargement.
Patients with horseshoe kidney require follow up, as they may develop hydronephrosis, renal stones, recurrent infections, secondary hypertension, increased susceptibility to trauma, and various forms of malignancy.
Abnormal oriented kidneys during ultrasound evaluation should raise the suspicion of horseshoe kidney.
Unable to process the form. Check for errors and try again.