Horseshoe kidney with partial obstruction

Case contributed by Dr Ian Bickle

Presentation

Middle aged with left flank pain

Patient Data

Age: 40 years old
Gender: Male
Modality: Fluoroscopy

The control film illustrates the abnormal orientation of the kidneys with the soft tissue isthmus, in keeping with a horseshoe kidney.  No renal tract calculi.

Following IV contrast, the 5 and 70 minute films confirm the collecting system are in keeping with a horseshoe kidney, with the left sided moiety, showing a progressively dilated collecting system in keeping with PUJ obstruction, a known association.

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Case Information

rID: 21242
Case created: 12th Jan 2013
Last edited: 14th Feb 2016
System: Urogenital
Inclusion in quiz mode: Included

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