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Related Concept Videos

External Anatomy of the Kidney01:21

External Anatomy of the Kidney

The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Structure01:45

Kidney Structure

The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.

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Related Experiment Video

Updated: Jun 23, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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
PubMed
Summary
This summary is machine-generated.

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.

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Last Updated: Jun 23, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
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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.