Polycystic Horseshoe Kidney: A Rare Coexistence as a Challenge for the Surgeons. Case Report

Autosomal dominant polycystic kidney disease (ADPKD) with concomitant horseshoe is an extremely rare entity. In this case, we report a 45-year-old male patient ADPKD and who demonstrated hypertension, urological complications discomfort symptoms such as pain, breathing difficulties abdominal meteorism. After preoperative assessment planning, the underwent nephrectomy. Bilateral nephrectomy without dividing isthmus was performed successfully. The isthmus, which had complicated vasculature full of cysts, remained intact avoiding severe bleeding infection. postoperative course uneventful. Keeping in cases challenge for surgeon. rarity combination altered anatomy requires proper strategy order to avoid intraoperative complications.