case_images: PMC6521563_01
case_images: Initial preoperative CE-CT scan (coronal section) showing horseshoe kidney with right hydronephrosis.
case_images: CRIU2019-4132521.001.jpg
case_images: PMC6521563_01_CRIU2019-4132521.001.jpg
case_images: fig1
case_images: The preoperative CT scan revealed a horseshoe kidney (HSK) with the right side involved by ureteropelvic-junction obstruction (UPJO) causing gross hydronephrosis and parenchymal thinning (Figures 1 and 2).
case_images: Initial preoperative CE-CT scan (axial section) showing horseshoe kidney with the fusion of the lower poles to the left of aorta.
case_images: CRIU2019-4132521.002.jpg
case_images: PMC6521563_01_CRIU2019-4132521.002.jpg
case_images: fig2
case_images: The preoperative CT scan revealed a horseshoe kidney (HSK) with the right side involved by ureteropelvic-junction obstruction (UPJO) causing gross hydronephrosis and parenchymal thinning (Figures 1 and 2).
case_images: CE-CT following laparoscopic right nephrectomy showing leakage of contrast from the residual stump of the right lower pole.
case_images: CRIU2019-4132521.003.jpg
case_images: PMC6521563_01_CRIU2019-4132521.003.jpg
case_images: fig3
case_images: Subsequently CT urogram was done which showed that a small residual stump of the right kidney fused to the lower pole of the left kidney was still viable and producing and leaking urine (Figure 3).
case_images: Intraoperative picture of exploratory laparotomy showing small residual stump of lower pole of right kidney fused to the lower pole of left kidney. Left ureter is seen running over the lower pole of left kidney.
case_images: CRIU2019-4132521.004.jpg
case_images: PMC6521563_01_CRIU2019-4132521.004.jpg
case_images: fig4
case_images: The stump was freed from the IVC and delivered to the left side from underneath the inferior mesenteric artery (Figure 4).