[Traumatic rupture of a horseshoe kidney].
One-third to one-half of all patients with horseshoe kidney are asymptomatic and the condition is found incidentally. This congenital renal anomaly has shown as a predisponent condition for renal injury in blunt abdominal trauma, but often the degree of injury has a nonoperative therapy. Horseshoe kidney rupture is an exceptional pathology that require a complete diagnostic study to make an adequate management when surgical therapy is indicated. We present a fifteen-year-old male with previously unsuspected horseshoe kidney that suffered an atypical right upper-pole and mesorrenal kidney rupture after low-velocity-impact blunt abdominal trauma. A correct presurgical diagnose let a deferred surgical approach with right lower pole and horseshoe renal isthmus preservation. The trauma conditions, an excesive clinic manifestation, a clinical investigation about known congenital simultaneous anomallies and typical radiological signs, can suggest this infrequent patology. Computed tomography provides the best radiological information.
Pascual Samaniego
M
M
Servicio de Urología, Hospital San Pedro de Alcántara, Cáceres. mpaski10@yahoo.es
Bravo Fernández
I
I
Ruiz Serrano
M
M
Ramos Martín
J A
JA
Lázaro Méndez
J
J
García González
A
A
D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D000293:Adolescent; D000311:Adrenal Glands / Q000293:injuries; D001265:Athletic Injuries / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000209:etiology; D006406:Hematoma / Q000209:etiology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000293:injuries* / Q000601:surgery; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D011859:Radiography; D012187:Retroperitoneal Space; D012421:Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D014546:Urinary Catheterization; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery