“…Only few cases of horseshoe kidney with duplex pelvicalyceal system and ureters has been reported to the best of our knowledge. Sharma PK et al, [1] Christoffersen J et al, [9] Afzal U et al, [10] have observed bilateral duplex collecting system in horseshoe kidney. Ongeti K W et al [2], Keskin S et al, [3] and Singh SK et al, [11] observed bilateral partial ureteral duplication in horse shoe kidney whereas Tyagi V et al, [4] Mirzazadeh M et al, [7] Segura J W et al, [12] and Sumner T E et al, [13] reported complete unilateral duplication in horseshoe kidney.…”