Horseshoe adrenal gland associated with spinal and vascular anomalies

  • Nicola RomanoEmail author
  • Aldo Fischetti
  • Silvia Pamparino
  • Simone Banderali
  • Enrico Francesco Melani
  • Gian Andrea Rollandi
Anatomic Variations


Horseshoe (or butterfly) adrenal gland (HAG) is an exceedingly rare congenital abnormality compared to horseshoe kidney. Here we present computed tomography findings of HAG in a 70-year-old man, associated with some spinal and vascular abnormalities; in addition, a brief review of HAG in adult people is presented. In our case, spinal anomalies included a severe scoliosis, a “butterfly” deformation of Th9 vertebra and the presence of a “split lumbosacral thecal sac” at L5 level. As regards, vascular anomalies, they were noted: the origin of the left common carotid artery from the innominate artery and the absence of celiac trunk with separate origin of three branches directly off the aorta (a splenic artery, a left gastrohepatic trunk and a right hepatic-pancreaticoduodenal artery).


Anatomy Computed tomography Adrenal gland Spine Vascular anatomy 


Author contributions

All the authors (NR, AF, SP, SB, EFM, GAR) wrote and reviewed this article.


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance ethical standards

Conflict of interest

The authors have no conflict of interest to disclose regarding this manuscript.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Health Sciences (DISSAL)-Radiology SectionUniversity of GenoaGenoaItaly
  2. 2.Department of RadiologyE.O. Ospedali GallieraGenoaItaly

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