Horseshoe Kidney

  • Etiology: ascending kidneys hooked on inferior mesenteric vein leading to fusion of lower poles and anteriorly placed renal pelvis + ureters
  • Imaging: challenge is how to determine lengths of component left and right kidneys
  • Complications: prone to stasis / stone / infection / scarring, ureteropelvic junction obstruction, increased risk of bleeding secondary to trauma due to isthmus anterior to spine, increased risk of cancer

Cases of Horseshoe Kidney