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CASE REPORT
Year : 2021  |  Volume : 16  |  Issue : 1  |  Page : 192-195

A rare presentation in horseshoe kidney


1 Department of Urosurgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
2 Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

Correspondence Address:
Dr. Shyamal Shah
Flat No. 3, Karmabhumi Apartment, Malpur Road, Modasa, Arravalli - 383 315, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_349_20

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Horseshoe kidney is the most common congenital fusion anomaly which occurs in 1 in 400–800 live births. Pelvi uretric junction obstruction is the most common abnormality associated with horseshoe kidney. Bilateral PUJ obstruction with renal stones with obstructive uropathy with one nonfunctional moiety is a rare occurrence. We here report such a case, and to the best of our knowledge, there is no such case reported in the literature. We managed the case by initial stabilization followed by left pyeloplasty with pyelolithotomy and partial isthmusectomy. In all cases of horseshoe kidney with renal calculi, there should be high index of suspicion for PUJ obstruction. Thoughtful management in such cases results in prompt recovery and decreases the morbidity of patient


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