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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
Discharging loin sinus: Unusual manifestation of ruptured horseshoe kidney
Debajyoti Mohanty1, Niraj Kumar Srivastava2, Nitin Bhajandas Borkar3
1Additional Professor, Department of General Surgery, All India Institute of Medical Sciences Raipur, Chhattisgarh, India.
Abstract:
We present a 20-year-old man with a chronic discharging sinus in the left loin arising from a horseshoe kidney with a large pelvicalyceal calculus on its left side. The left moiety was non-functional, so a left hemi-nephrectomy, together with excision of the whole fistula tract, was carried out. Histopathology was suggestive of chronic interstitial nephritis. Patients with horseshoe kidney are prone to development of renal stones and their associated complications. The unfamiliar anatomy of horseshoe kidneys may increase the complexity of any surgical procedure. Radiological investigations are pivotal in identification of the underlying renal pathology; they may also delineate a fistula tract as in our case.
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