Clinics in diagnostic imaging (67). Hydronephrotic horseshoe kidneys with multiple calculi.
Horseshoe kidney is the commonest congenital renal anomaly. Its inherently-poor drainage system renders the patient prone to stone formation. A 56-year-old man with bilateral renal stones in a horseshoe system associated with hydronephrosis is presented. He was treated successfully with bilateral CT-guided percutaneous nephrostomy and percutaneous nephrolithotripsy. Various treatment options, including ESWL, PCNL and open surgery, are discussed.
Ng
L G
LG
Department of Urology, Singapore General Hospital, Singapore. gurnlg@sgh.com.sg
Yip
S K
SK
Wong
M Y
MY
Lau
T N
TN
D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D007669:Kidney Calculi / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D011859:Radiography