Related Experiment Video
Updated: Jun 23, 2026
03:57
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
[Horseshoe kidney rupture].
Oscar Heredero Zorzo1, Alberto Palacios Hernandez, Pablo Eguiluz Lumbreras
1Department and Chair of Urology, Salamanca University Clinic Hospital, Salamancam, Spain. oscarheredero@hotmail.com
Archivos Espanoles De Urologia
|May 19, 2009
Summary
Horseshoe kidney rupture is a rare trauma. Diagnosis via CT scan guides treatment, ranging from conservative management to immediate surgery based on patient stability and injury severity.
Area of Science:
- Urology
- Trauma Surgery
- Radiology
Background:
- Horseshoe kidney is a congenital anomaly where both kidneys are joined at the isthmus.
- Renal trauma can occur due to blunt or penetrating injuries.
- Rupture of a horseshoe kidney is an exceptionally rare presentation of renal trauma.
Observation:
- A 67-year-old male with a known horseshoe kidney sustained an isthmus fracture after a fall.
- The patient presented with hemodynamic instability.
- Initial diagnostic evaluation included an intravenous contrast computed tomography (IV contrast CT) scan.
Findings:
- The IV contrast CT scan revealed a fracture of the horseshoe kidney's isthmus.
- Radiologic findings correlated with the patient's clinical presentation of hemodynamic instability.
- Exploratory laparotomy was performed due to the severity of the injury and patient's condition.
Implications:
- CT scan is the gold standard for diagnosing and classifying the severity of horseshoe kidney rupture.
- Management strategies for horseshoe kidney rupture depend on hemodynamic stability and injury grade.
- Treatment options include conservative management or immediate surgical intervention.
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