Horse shoe kidney occurs in 0.25% of general population and is more common in men with a 2:1 male to female ratio. Incidence of carcinoma in those with horse shoe kidney is about 3-4 times higher than the general population. Survival is mainly related to the histological grade and stage of the tumor. We present this case as our patient presented with features of anemia due to microscopic haematuria and vague abdominal pain. CECT abdomen and CT angiography diagnosed as heterogeneous mass lesion in the left moiety of horse shoe kidney with an independent vascular supply to the isthmus. Case was successfully operated by nephron sparing surgery with uneventful recovery.
Papillary carcinoma, Horse shoe kidney, Nephron sparing surgery.