Abstract
This report describes a rare cadaveric case of a horseshoe kidney (HSK), a congenital anatomical anomaly characterized by fusion of the right and left kidneys. A distinct soft tissue band was identified joining the inferior poles of both kidneys, positioned inferior to the inferior mesenteric artery. The renal pelvises and ureters exhibited abnormal origin and course, which may increase the risk of compression and urinary tract obstruction. Additionally, accessory renal arteries supplying the inferior poles of the kidneys were identified and described. Measurements were taken to assess the dimensions of the connecting tissue band and the spatial relationship of the various relevant structures. This case highlights the rarity of the HSK and its associated anatomical variations and discusses potential implications such as urinary tract obstructions, infections, and kidney stone formation. A thorough understanding of these anomalies is critical for accurate diagnosis, effective management, and improving clinical outcomes in patients with HSKs. The literature reviewed in this case underscores the importance of recognizing such variations for better patient care and treatment strategies.