case_images: PMC10882249_01
case_images: CT abdomen/pelvis without contrast in axial (left) and coronal (right) views showed an HSK (white arrows).. HSK: Horseshoe kidney
case_images: cureus-0016-00000052790-i01.jpg
case_images: PMC10882249_01_cureus-0016-00000052790-i01.jpg
case_images: FIG1
case_images: A CT of the abdomen and pelvis without contrast confirmed the presence of an HSK (Figure 1) and bilateral hydronephrosis, more prominent on the left (Figure 2).
case_images: CT abdomen/pelvis without contrast in axial view shows bilateral hydronephrosis more prominent on the left (white star) compared to the right (white arrow).
case_images: cureus-0016-00000052790-i02.jpg
case_images: PMC10882249_01_cureus-0016-00000052790-i02.jpg
case_images: FIG2
case_images: A CT of the abdomen and pelvis without contrast confirmed the presence of an HSK (Figure 1) and bilateral hydronephrosis, more prominent on the left (Figure 2).
case_images: Complete renal ultrasound showed bilateral hydronephrosis, prominently worse on the left.
case_images: cureus-0016-00000052790-i03.jpg
case_images: PMC10882249_01_cureus-0016-00000052790-i03.jpg
case_images: FIG3
case_images: Ultrasound of the kidneys revealed bilateral hydronephrosis with a left predominance (Figure 3).
case_images: Nuclear medicine renal scan with flow shows intact fluid passage from kidney to bladder bilaterally.
case_images: cureus-0016-00000052790-i04.jpg
case_images: PMC10882249_01_cureus-0016-00000052790-i04.jpg
case_images: FIG4
case_images: The scan showed bilateral excretion with asymmetric renal split in function, 60% on the right and 40% on the left (Figure 4).
case_images: X-ray voiding urethrocystography (VCUG) revealed no reflux into the ureters.
case_images: cureus-0016-00000052790-i05.jpg
case_images: PMC10882249_01_cureus-0016-00000052790-i05.jpg
case_images: FIG5
case_images: A voiding urethrocystography showed no bladder abnormalities and no evidence of vesicoureteral reflux (VUR) as shown in Figure 5.