title: [Horseshoe kidney rupture].
abstract: BACKGROUND
  We report a rare case of horses-hoe kidney trauma.
  
  
  METHODS
  67 years old man with a horseshoe kidney, which presented a fracture of the isthmus after falling.
  
  
  RESULTS
  The diagnosis was made by IV contrast CT scan. He underwent exploratory laparotomy due to hemodynamic instability and radiologic findings on the CT scan.
  
  
  CONCLUSIONS
  The rupture of a horseshoe kidney is a rare injury. CT scan is the test of choice to classify the degree of injury. Depending on the patient's hemodynamic stability and the findings on the CT scan the options are conservative orimmediate surgical treatment.
authors.affiliation: Department and Chair of Urology, Salamanca University Clinic Hospital, Salamancam, Spain. oscarheredero@hotmail.com
authors.forename: Oscar
authors.initials: O
authors.lastname: Heredero Zorzo
authors.forename: Alberto
authors.initials: A
authors.lastname: Palacios Hernandez
authors.forename: Pablo
authors.initials: P
authors.lastname: Eguiluz Lumbreras
authors.forename: Manuel
authors.initials: M
authors.lastname: Herrero Polo
authors.forename: Victoriano Ramón
authors.initials: VR
authors.lastname: Gomez Zancajo
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Garcia Garcia
authors.forename: Francisco Jose
authors.initials: FJ
authors.lastname: Diaz Alferez
authors.forename: Manuel
authors.initials: M
authors.lastname: Urrutia Avisrror
mesh_terms: D000368:Aged; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000293:injuries*; D008297:Male; D012421:Rupture