eMedicine Specialties > Radiology > Genitourinary

Horseshoe Kidney: Multimedia

Author: Abid Irshad, MD, Assistant Professor, Department of Radiology, Medical University of South Carolina
Coauthor(s): Susan Ackerman, MD, Director of Ultrasound, Assistant Professor, Department of Radiology, Medical University of South Carolina; James Ravenel, MD, Assistant Professor of Radiology, Chief of Thoracic Imaging, Clinical Director of Computed Tomography, Assistant Residency Program Director, Department of Radiology, Medical University of South Carolina
Contributor Information and Disclosures

Updated: Aug 28, 2007

Multimedia

Plain radiograph of the abdomen shows calcific op...Media file 1: Plain radiograph of the abdomen shows calcific opacities in the region of left lower renal pole. Note the reversed axis of the kidneys, which suggests horseshoe kidney.
Plain radiograph of the abdomen shows calcific op...

Plain radiograph of the abdomen shows calcific opacities in the region of left lower renal pole. Note the reversed axis of the kidneys, which suggests horseshoe kidney.

Intravenous urogram (IVU) shows an altered renal ...Media file 2: Intravenous urogram (IVU) shows an altered renal axis with medially directed lower renal poles, which suggests horseshoe kidney. Also note the dilated collecting system of the left kidney, resulting from a ureteropelvic junction obstruction; this is a frequently associated finding.
Intravenous urogram (IVU) shows an altered renal ...

Intravenous urogram (IVU) shows an altered renal axis with medially directed lower renal poles, which suggests horseshoe kidney. Also note the dilated collecting system of the left kidney, resulting from a ureteropelvic junction obstruction; this is a frequently associated finding.

Intravenous urogram (IVU) demonstrates horseshoe ...Media file 3: Intravenous urogram (IVU) demonstrates horseshoe kidney. Note the malrotated collecting systems on both sides. The lower pole calyx of the right kidney lies medial to the ureter.
Intravenous urogram (IVU) demonstrates horseshoe ...

Intravenous urogram (IVU) demonstrates horseshoe kidney. Note the malrotated collecting systems on both sides. The lower pole calyx of the right kidney lies medial to the ureter.

Axial computed tomography (CT) scan obtained thro...Media file 4: Axial computed tomography (CT) scan obtained through the abdomen after the intravenous administration of contrast material. Fused kidneys are revealed, with a parenchymal isthmus at the lower poles. Note the malrotated collecting system of the left kidney, facing anterolaterally.
Axial computed tomography (CT) scan obtained thro...

Axial computed tomography (CT) scan obtained through the abdomen after the intravenous administration of contrast material. Fused kidneys are revealed, with a parenchymal isthmus at the lower poles. Note the malrotated collecting system of the left kidney, facing anterolaterally.

Computed tomography (CT) scan of the abdomen obta...Media file 5: Computed tomography (CT) scan of the abdomen obtained after the intravenous administration of contrast material. The isthmus of a horseshoe kidney, consisting of parenchymal tissue, is clearly demonstrated. Note the cortical continuity of the fused kidneys.
Computed tomography (CT) scan of the abdomen obta...

Computed tomography (CT) scan of the abdomen obtained after the intravenous administration of contrast material. The isthmus of a horseshoe kidney, consisting of parenchymal tissue, is clearly demonstrated. Note the cortical continuity of the fused kidneys.

Axial contrast-enhanced T1-weighted magnetic reso...Media file 6: Axial contrast-enhanced T1-weighted magnetic resonance image shows the isthmus of a horseshoe kidney; it consists of parenchymal tissue and lies anterior to the spine.
Axial contrast-enhanced T1-weighted magnetic reso...

Axial contrast-enhanced T1-weighted magnetic resonance image shows the isthmus of a horseshoe kidney; it consists of parenchymal tissue and lies anterior to the spine.

Transverse ultrasonogram of the abdomen showing a...Media file 7: Transverse ultrasonogram of the abdomen showing a soft-tissue hypoechoic mass (isthmus) that is anterior to the spine and aorta and that unites the lower renal poles.
Transverse ultrasonogram of the abdomen showing a...

Transverse ultrasonogram of the abdomen showing a soft-tissue hypoechoic mass (isthmus) that is anterior to the spine and aorta and that unites the lower renal poles.

Transverse slightly oblique ultrasonogram of the ...Media file 8: Transverse slightly oblique ultrasonogram of the right kidney, showing the lower pole of the right kidney; the pole crosses over the spine, anterior to the aorta and inferior vena cava.
Transverse slightly oblique ultrasonogram of the ...

Transverse slightly oblique ultrasonogram of the right kidney, showing the lower pole of the right kidney; the pole crosses over the spine, anterior to the aorta and inferior vena cava.

Posterior technetium-99m methylene diphosphonate ...Media file 9: Posterior technetium-99m methylene diphosphonate nuclear medicine bone scan shows incidental findings that suggest horseshoe kidney.
Posterior technetium-99m methylene diphosphonate ...

Posterior technetium-99m methylene diphosphonate nuclear medicine bone scan shows incidental findings that suggest horseshoe kidney.

Angiogram shows incidental findings of a horsesho...Media file 10: Angiogram shows incidental findings of a horseshoe kidney. The lower poles are connected by a fibrous isthmus.
Angiogram shows incidental findings of a horsesho...

Angiogram shows incidental findings of a horseshoe kidney. The lower poles are connected by a fibrous isthmus.

Transverse sonogram of the abdomen demonstrates a...Media file 11: Transverse sonogram of the abdomen demonstrates a soft-tissue isthmus anterior to the spine.
Transverse sonogram of the abdomen demonstrates a...

Transverse sonogram of the abdomen demonstrates a soft-tissue isthmus anterior to the spine.

Intravenous urogram (IVU) of a male patient displ...Media file 12: Intravenous urogram (IVU) of a male patient displays findings consistent with the presence of horseshoe kidney.
Intravenous urogram (IVU) of a male patient displ...

Intravenous urogram (IVU) of a male patient displays findings consistent with the presence of horseshoe kidney.

Ultrasonogram of a pediatric patient displays a h...Media file 13: Ultrasonogram of a pediatric patient displays a hypoechoic soft-tissue mass anterior to the spine. The finding is consistent with the presence of horseshoe kidney.
Ultrasonogram of a pediatric patient displays a h...

Ultrasonogram of a pediatric patient displays a hypoechoic soft-tissue mass anterior to the spine. The finding is consistent with the presence of horseshoe kidney.

More on Horseshoe Kidney

Overview: Horseshoe Kidney
Imaging: Horseshoe Kidney
Follow-up: Horseshoe Kidney
Multimedia: Horseshoe Kidney
References

References

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  2. Bauer SB, Perlmutter AD, Retik AB. Anomalies of the upper urinary tract. In: Walsh, PC, ed. Campbell's Urology. 6th ed. Philadelphia, Pa: WB Saunders; 1992:1357-1401.

  3. Boatman DL, Cornell SH, Kolln CP. The arterial supply of horseshoe kidneys. Am J Roentgenol Radium Ther Nucl Med. Nov 1971;113(3):447-51. [Medline].

  4. Boatman DL, Kolln CP, Flocks RH. Congenital anomalies associated with horseshoe kidney. J Urol. Feb 1972;107(2):205-7. [Medline].

  5. Cook WA, Stephens FD. Fused kidneys: morphologic study and theory of embryogenesis. Birth Defects Orig Artic Ser. 1977;13(5):327-40. [Medline].

  6. Decter RM. Renal duplication and fusion anomalies. Pediatr Clin North Am. Oct 1997;44(5):1323-41. [Medline].

  7. Evans WP, Resnick MI. Horseshoe kidney and urolithiasis. J Urol. May 1981;125(5):620-1. [Medline].

  8. Fernbach SK, Davis TM. The abnormal renal axis in children with spina bifida and gibbus deformity--the pseudohorseshoe kidney. J Urol. Dec 1986;136(6):1258-60. [Medline].

  9. Grainger R, Murphy DM, Lane V. Horseshoe kidney--a review of the presentation, associated congenital anomalies and complications in 73 patients. Ir Med J. Jul 1983;76(7):315-7. [Medline].

  10. Göksel O, Cinar B, Kömürcü G, et al. Surgical treatment of abdominal aortic aneurysms associated with horseshoe kidney. Vascular. Jan-Feb 2006;14(1):27-31. [Medline].

  11. Koff SA, Wise HA. Anomalies of the kidneys. Adult Ped Urol. 1996;3:2178-93.

  12. Kolln CP, Boatman DL, Schmidt JD. Horseshoe kidney: a review of 105 patients. J Urol. Feb 1972;107(2):203-4. [Medline].

  13. Krishnan B, Truong LD, Saleh G. Horseshoe kidney is associated with an increased relative risk of primary renal carcinoid tumor. J Urol. Jun 1997;157(6):2059-66. [Medline].

  14. Nino-Murcia M, deVries PA, Friedland GW. Congenital anomalies of the kidneys. Clin Uroradiol. 2000;1:690-763.

  15. Pitts WR Jr, Muecke EC. Horseshoe kidneys: a 40-year experience. J Urol. Jun 1975;113(6):743-6. [Medline].

  16. Schacht MJ, Sakowicz B, Rao MS. Intermittent abdominal pain in a patient with horseshoe kidney. J Urol. Oct 1983;130(4):749-51. [Medline].

  17. Segura JW, Kelalis PP, Burke EC. Horseshoe kidney in children. J Urol. Aug 1972;108(2):333-6. [Medline].

  18. Stein RJ, Desai MM. Management of urolithiasis in the congenitally abnormal kidney (horseshoe and ectopic). Curr Opin Urol. Mar 2007;17(2):125-31. [Medline].

  19. Viola D, Anagnostou T, Thompson TJ, et al. Sixteen years of experience with stone management in horseshoe kidneys. Urol Int. 2007;78(3):214-8. [Medline].

  20. Whitehouse GH. Some urographic aspects of the horseshoe kidney anomaly-a review of 59 cases. Clin Radiol. Jan 1975;26(1):107-14. [Medline].

Further Reading

Keywords

midline renal fusion, L-shaped kidney, fusion anomaly, fusion anomalies, fused kidneys, symmetric horseshoe kidneys, asymmetric horseshoe kidneys, isthmus, lateral renal fusion, crossed fused ectopia

Contributor Information and Disclosures

Author

Abid Irshad, MD, Assistant Professor, Department of Radiology, Medical University of South Carolina
Abid Irshad, MD is a member of the following medical societies: Radiological Society of North America and Society of Breast Imaging
Disclosure: Nothing to disclose.

Coauthor(s)

Susan Ackerman, MD, Director of Ultrasound, Assistant Professor, Department of Radiology, Medical University of South Carolina
Susan Ackerman, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and South Carolina Medical Association
Disclosure: Nothing to disclose.

James Ravenel, MD, Assistant Professor of Radiology, Chief of Thoracic Imaging, Clinical Director of Computed Tomography, Assistant Residency Program Director, Department of Radiology, Medical University of South Carolina
James Ravenel, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of Program Directors in Radiology, Association of University Radiologists, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Joshua A Becker, MD, Professor, Department of Radiology, New York University School of Medicine
Joshua A Becker, MD is a member of the following medical societies: Society of Uroradiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

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