Horseshoe kidney is a renal fusion anomaly during embryogenesis with incidence ranges of 1 in 400 to 1 in 1800 live births. Adult polycystic kidney disease is a hereditary disorder and transmitted in autosomal dominant pattern with a reported incidence of 1 in 1000 to 1 in 5000 cases. Polycystic horseshoe kidney is a very rare occurrence with incidence ranges of 1 in 134 000 to 1 in 8 000 000 live births. We here present a patient who was admitted at the hospital with headache, hypertension and polycystic horseshoe kidney.
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