We report a patient with ureteropelvic junction obstruction in a horse
shoe kidney who was successfully managed with an antegrade endopyeloto
my. Follow-up at 1 year confirmed a good result, Special consideration
s are necessary for the successful performance of an endopyelotomy in
a horseshoe kidney. Recommendations will be made regarding percutaneou
s access and orientation of the incision as well as a review of the li
terature.