Website is intended for physicians



Aim: was to define possibilities of multispiral computed tomography (MSCT) in assessment of condition of aorta and it's branches, during preparation for reconstructive surgery in patients with horseshoe kidney.

Material and methods: for the period 2015-2018, 415 patients were examined during preparation for aortic reconstructive surgery. Patient underwent target ultrasonic diagnostics, followed by computed tomography made on 256-slice Philips iCT, before and after injection of contrast agent. We used a special program for comparing various phases of the study ("Fusion") for better visualization of arterial vessels of kidney, aorta and renal excretory system. In 5 cases, a combination of aortic pathology with abnormal horseshoe kidney was revealed.

Results: in all cases we revealed branched type of blood supply of abnormal kidney A total of 5 patients had 25 renal arteries. In 4 cases we revealed branched type of renal veins, its total ammount was 20. Duplication of upper urinary tract was found in 1 case. From the surveyed group, 3 patients out of 5 were operated. Intraoperatively all data detected by CT scan regarding the condition of the aorta, the position of the kidney, the number of renal vessels were confirmed.

Conclusion: MSCT allows detailly assessment of anatomical features of abnormal horseshoe kidney and facilitates subsequent surgical intervention in patients with a rare combination of aortic pathology and a horseshoe kidney.



1.       Kirkpatrick J.J., Leslie S.W. Horseshoe Kidney. In: StatPearls [Internet], 2018.

2.       Gianfagna F., Veronesi G., Bertu L, et al. Prevalence of abdominal aortic aneurysms and its relation with cardiovascular risk stratification: protocol of the Risk of Cardiovascular diseases and abdominal aortic Aneurysm in Varese (RoCAV) population based study. BMC Cardiovasc Disord. 2016;16(1):243. Published 2016 Nov 29. doi:10.1186/s12872-016-0420-2.

3.       Joanna Mikolajczyk-Stecyna, Aleksandra Korcz, Marcin Gabriel et al. Risk factors in abdominal aortic aneurysm and aortoiliac occlusive disease and differences between them in the Polish population. Scientific Reports (2013) volume3: 3528.

4.       Davidovic L Markovic M, Ilic N et al. Repair of abdominal aortic aneurysms in the presence of the horseshoe kidney. IntAngiol. 2011 Dec;30(6):534-40.

5.       Kumar Y, Hooda K, L.i S., Goyal P, et al. Abdominal aortic aneurysm: pictorial review of common appearances and complications. Ann TranslMed. 2017;5(12):256.

6.       Stephen P Reis, Bill S. Majdalany, Ali F. AbuRahma et al., ACR Appropriateness Criteria Pulsatile Abdominal Mass Suspected Abdominal Aortic Aneurysm. J Am Coll Radiol 2017;14:S258-S265

7.       CHekhoeva O.A., Buryakina S.A., Alimurzaeva M.Z., Gontarenko V.N. Aneurysm of the infrarenal aorta in combination with a horseshoe-shaped kidney: case report. Medicinskaya vizualizaciya №3 2016. C.: 63-70. [In Russ.] 

8.       B.V. Fadin, A.B. Mal'gin, S.V. Berdnikov i dr. Aneurysm of the abdominal aorta in combination with a horseshoe-shaped kidney. ZHurnal angiologiya i sosudistaya hirurgiya . 2002 TOM 8 №3 Str. 113-119. [In Russ.]

9.       Ignat'ev I.M., Volodyuhin M.YU., Zanochkin A.V. Endoprosthetics of the abdominal aortic aneurysm in a patient with a horseshoe-shaped kidney. Arhitektura zdorov'ya. [Internet souce] tekushchee-izdanie/zdorove-i-meditsina/klinicheskie- issledovaniya/11-endoprotezirovanie-anevrizmy-bryush- noj-aorty-u-patsienta-s-podkovoobraznoj-pochkoj

10.     Troickij V.I., Habazov R.I., Lysenko E.R. i dr. Surgical treatment of abdominal aortic aneurysm in a patient with a horseshoe-shaped kidney. Angiologiya i sosudistaya hirurgiya. 2003; 9 (2): 122-125. [In Russ.] (АНГИОЛОГИЯ.ру) - портал о диагностике и лечении заболеваний сосудистой системы