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"HORSESHOE KIDNEY"

“ Most common abnormality of renal fusion. Associated with syndromes and anomalies elsewhere. Morbidity from traumatic injury, recurrent inf...

Most common abnormality of renal fusion. Associated with syndromes and anomalies elsewhere. Morbidity from traumatic injury, recurrent infections, stones and pelvi-ureteric junction (PUJ) obstruction. Higher risk of malignancy.
US
•  Fibrous or parenchymal band fusing the lower poles across the midline
•  Low position (inferior mesenteric artery prevents migration superiorly)
•  Lower renal poles point medially, pelvices anteriorly
CT
•  Multiple, ectopic renal arteries e.g. arising from common iliac/internal iliac etc.