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Introduction A horseshoe adrenal gland is an extremely rare congenital anomaly characterised by the presence of a solitary fused adrenal gland. It is a finding documented almost exclusively in fetal, neonatal and infant autopsy studies and to date, there have only been a total of six prior cases reported in adults.1–6 It is often found incidentally on imaging, e.g. ultrasound, CT or MRI in otherwise asymptomatic adults.
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