Horseshoe kidney with a gigantic Calculus: A documented case report

Abstract

The most frequent genitourinary fusion abnormality described in literature is horseshoe kidney. Horseshoe kidney because of its abnormal anatomy is linked to malrotations, fluctuating blood flow, high insertion of the ureter, a tendency to develop ureteropelvic junction (PUJ) obstruction in up to onethird of patients, and these are all presentations of this condition. One-third of the patients with horseshoe kidney present with either stone disease or PUJ obstruction. In our case report, we discuss the treatment of a 38-year-old male patient who had been complaining of abdominal pain for the past few years, was found to have a horseshoe kidney and presented to us in urosepsis due to gigantic large calculus in right segment of horseshoe kidney and acute renal failure which was managed initially on emergent basis by insertion of percutaneous nephrostomy tube into the right segment followed by 2 months later by open right sided nephropyelolithotomy. The patient was relieved of all his symptoms at 3rd month follow-up and resumed his daily activities.

Keywords

• horseshoe kidney
• urolithiasis
• nephropyelolithotomy
• renal calculi