Obstructed infected horseshoe kidney

Case contributed by Dr Chris O'Donnell

Presentation

Right loin pain and fever

Patient Data

Age: 50
Gender: Female

Horseshoe kidney with multiple bilateral renal calculi (these kidneys are prone to stone formation due to relative urinary stasis). Note stones towards the lower pole of the right kidney with marked dilatation of the right renal pelvis and calyces, and considerable surrounding soft tissue swelling (caused by the sepsis). These 2 right stones (arrows) are in the malrotated PUJ passing anteriorly rather than medially, causing obstruction.

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Case information

rID: 18116
Case created: 10th Jun 2012
Last edited: 14th Aug 2016
System: Urogenital
Inclusion in quiz mode: Included

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