Horseshoe kidney - intravenous urogram

Case contributed by Dr Aditya Shetty


Right flank pain. Ultrasound was unremarkable, however a horseshoe anomaly detected.

Patient Data

Age: 25 years
Gender: Male

IVU findings:

  • both kidneys appear rotated with bilateral pelvicalyceal systems seen more end-on
  • both lower poles are directed medially towards the spine
  • normally functioning bilateral kidneys

Case Discussion

Case of horseshoe kidney

Most common renal fusion anomaly.

More common in males.

IVU is a useful method for diagnosis, however the isthmus may not be well visualized ; a diagnosis can be made on the basis of secondary sign.

CT is more definitive and the level of fusion can also be determined. 

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Case information

rID: 27958
Published: 27th Feb 2014
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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