Abstract
INTRODUCTION: The combination of a horseshoe kidney with a retrocaval ureter in one patient is extremely rare. PRESENTATION OF CASE: A 12-year-old adolescent presented with the compliant of absent testis in the right scrotum since birth with incidental radiologic finding of horseshoe kidney with retrocaval ureter. CLINICAL FINDINGS AND INVESTIGATIONS: Physical examination was unremarkable except for a left non-palpable testis. A complete blood count, renal function test, urine analysis, ultrasound of the abdomen and pelvis, and computed tomography urography were performed. INTERVENTION AND OUTCOME: Right ureteral uncrossing with ureterourererostomy and right orchidectomy was done. The patient is doing well during postoperative follow-up. RELEVANCE AND IMPACT: Modern imaging techniques can accurately define the anatomical details, facilitating appropriate preoperative planning.