Clinics in diagnostic imaging (67) . Hydronephrotic horseshoe kidneys with multiple calculi
Ng, L.G.; Yip, S.K.; Wong, M.Y.; Lau, T.N.
Singapore Medical Journal 42(11): 540-544
2001
ISSN/ISBN: 0037-5675 PMID: 11876383 Document Number: 529795
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.