Presentation
Right flank pain
Patient Data
Age: 20 years
Gender: Male
From the case:
Staghorn calculus in horseshoe kidney
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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.
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.