DOI: 10.363247/sjmcr.2018.v06i10.022

Pages: 819-823

The horseshoe kidney is the merger generally lower pole of both kidneys by a bridge mesenchymal or fibrous infrequent, the severity of this congenital anomaly is the high incidence of associated renal pathologies. The authors report a case where you can combine horseshoe kidney and renal tumor malignancy, the aim is to draw attention to the diagnostic process in this case at the end to ensure optimal care. The first child aged of 6 years and half, consulted for abdominal pain symptomatic paroxysmal Rebels associated with abdomino-pelvic mass median. Ultra-sound and an assessment was made suspect CT digestive lymphoma or neuroblastoma. The indication for surgical biopsy was asked. Histological study had concluded nephroblastoma. A new assessment including Doppler ultrasound imaging and angio-scanner was performed. The diagnosis of nephroblastoma in a horseshoe kidney was retained with pulmonary metastasis. The second case, we had a child aged of 2 years and half, consulted for abdominal mass of chance discovery, whose imaging objectified nephroblastoma in a horseshoe kidney. Surgery for both children consisted of a complete and economical excision respecting the healthy renal parenchyma. Uncommon disease, his ignorance little affect pejorative diagnosis is based on imaging quality when in doubt scanned biopsy-guided posterior approach and fine needle is possible. In our first case, our surgical biopsy induced transformation stage; radiation is therefore necessarily associated with surgery and chemotherapy.