Staghorn calculus in horseshoe kidney
Right flank pain
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Both kidneys are malrotated and fused in the midline in front of the aorta.
Large calculus noted in renal pelvis extending into major calyces. No hydronephrosis noted.
Nonspecific mesenteric lymph nodes are noted in RIF. No CT evidence of appendicitis.
Horseshoe kidney is the most common congenital fusion anomaly. The ascent of both kidneys is halted by the inferior mesenteric artery. These kidneys are more prone to complications such as calculi formation. hydronephrosis and a high incidence of malignancy.
- Ephraim Vikram Rao K, Sadananda Rao Battula. Horseshoe kidney: a review article. (2017) International Journal of Research in Medical Sciences. 3 (11): 3004. doi:10.18203/2320-6012.ijrms20151136
- Schiappacasse G, Aguirre J, Soffia P, Silva CS, Zilleruelo N. CT findings of the main pathological conditions associated with horseshoe kidneys. (2015) The British journal of radiology. 88 (1045): 20140456. doi:10.1259/bjr.20140456 - Pubmed
- Bo-Kyung Je, Hee Kyung Kim, Paul S. Horn. Incidence and Spectrum of Renal Complications and Extrarenal Diseases and Syndromes in 380 Children and Young Adults With Horseshoe Kidney. (2015) American Journal of Roentgenology. 205 (6): 1306-14. doi:10.2214/AJR.15.14625 - Pubmed