Horseshoe kidney

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Abdominal pain

Patient Data

Age: 45 years
Gender: Female
ct

Horseshoe kidney configuration.

Left renal pelvis oval-shaped stone with mild pelvicalyceal dilatation and pelvic wall thickening (obstructing stone). Lower calyceal non-obstructing stone is seen.

The right kidney shows mild pelvicalyceal dilatation with no renal or ureteric stones. A shallow posterior renal scar is seen.

Bilateral pelvic phleboliths.

Two right-sided abdominal wall ventral hernias at the rectus sheath, large is supraumbilical and the other is infraumbilical with partial atrophy of right rectus sheath muscle.

Case Discussion

Horseshoe kidney has increased incidence for renal stones and hydronephrosis.

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