Deployment of REBOA device in a case of gunshot wound injury to a horseshoe kidney

A horseshoe kidney (HSK) is a urological malformation that is typically found incidentally after a traumatic injury due to its asymptomatic nature. We present a 25-year-old male with multiorgan injury secondary to blunt abdominal trauma sustained after a gunshot wound (GSW). We describe the management of the GSW that led to the identification of an HSK and other associated intra-abdominal injuries and the subsequent treatment. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an improving minimally invasive technique that was used to control bleeding during surgical repair of the injuries. Multi-organ injury that involves damage to an HSK is uncommon. Our interest in the case relies on the rarity and unique aspects of the injuries and the recovery of the patient following the use of REBOA.