Background: We report a rare case of horses-hoe kidney trauma.
Methods: 67 years old man with a horseshoe kidney, which presented a fracture of the isthmus after falling.
Results: The diagnosis was made by IV contrast CT scan. He underwent exploratory laparotomy due to hemodynamic instability and radiologic findings on the CT scan.
Conclusions: The rupture of a horseshoe kidney is a rare injury. CT scan is the test of choice to classify the degree of injury. Depending on the patient's hemodynamic stability and the findings on the CT scan the options are conservative orimmediate surgical treatment.