Staghorn calculus in horseshoe kidney

Case contributed by Dr Salahouddin Asadullah
Diagnosis almost certain

Presentation

Right flank pain

Patient Data

Age: 20 years
Gender: Male

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.

 

Case Discussion

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.

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