Horseshoe kidney with unilateral single ectopic ureter

Area of Science:

• Urology
• Medical Imaging
• Congenital Anomalies

Background:

• Horseshoe kidney (HSK) is a relatively common congenital renal anomaly, affecting approximately 0.25% of the general population.
• HSK exhibits a higher prevalence in males (2:1 ratio) and is frequently associated with other genitourinary anomalies.
• While ureteral duplication is observed in 10% of HSK cases, the co-occurrence with a single-system ectopic ureter is exceptionally rare.

Observation:

• This report presents a unique case of horseshoe kidney (HSK) associated with a unilateral single ectopic ureter.
• Radiological findings revealed the specific anatomical configuration of the HSK and the ectopic ureter.
• Surgical findings corroborated the radiological diagnosis, highlighting the rarity of this specific presentation.

Findings:

• The study highlights the extreme rarity of horseshoe kidney (HSK) associated with a unilateral single ectopic ureter.
• No prior reports in the literature document a similar combination of congenital anomalies.
• This case underscores the spectrum of genitourinary anomalies that can occur with HSK.

Implications:

• This case contributes to the understanding of rare genitourinary malformations associated with horseshoe kidney.
• Highlights the importance of thorough radiological and surgical evaluation in complex HSK cases.
• Provides valuable insights for clinicians managing patients with rare congenital renal and ureteral anomalies.