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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Traumatic rupture of horseshoe kidney
R Molina Escudero1, M J Cancho Gil, A Husillos Alonso
1Department of Urology, Hospital General Universitario Gregorio Marañón, Madrid, Spain. robersescu @ hotmail.com
Urologia Internationalis
|September 22, 2011
Summary
Blunt abdominal trauma can cause significant kidney injury, especially in horseshoe kidneys. This case highlights successful conservative management preserving renal function after traumatic rupture.
Area of Science:
- Urology
- Trauma Surgery
- Radiology
Background:
- Renal affection is common in blunt abdominal trauma, particularly in patients with pre-existing kidney abnormalities.
- Horseshoe kidneys, due to their unique anatomy, are more susceptible to traumatic rupture.
Observation:
- A 25-year-old male presented with abdominal pain and distension post-trauma.
- CT revealed a large retroperitoneal hematoma with lacerations at the inferior renal poles of a ruptured horseshoe kidney isthmus.
- The patient showed signs of anemization and escalating pain.
Findings:
- Selective embolization of a right renal artery branch was performed.
- A double J stent was placed to address urinary extravasation in the lower left kidney pole.
- After one year of monitoring, the patient maintained normal renal function.
Implications:
- Traumatic rupture of a horseshoe kidney is rare but requires prompt recognition.
- Conservative management, including embolization and stenting, can effectively preserve renal function in these cases.
- Understanding the anatomical predispositions of horseshoe kidneys is crucial for optimal trauma management.
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