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Abstract
Retroaortic left renal vein (RLRV) is a relatively rare congenital anomaly of renal vasculature. The possible clinical symptoms of this type of vascular varition include hematuria, abdominal or flank pain. The urological symptoms are due to the increased pressure of the left renal vein, which is secondary to posterior nutcracker syndrome. RLRV can be diagnosed by doppler ultrasound, computed tomography or magnetic resonance imaging. Although the incidence is low, the diagnosis of this variant is particularly important for surgical implications. Abnormal renal vein can be a significant impact on surgeon, failure to diagnose these anomalies can lead to vascular injury and major bleeding. This report analyzes two clinical cases of incidental finding RLRV in a kidney donor and reviews the literature regarding embryological development, pathogenesis, treatment, and surgical implications for this renal vein variation.
References
Andrade FM, Pereira HM et al., A Rare Variation of the Retro - Aortic Left Renal Vein with Anastomotic Afluent from Inferior Mesenteric Vein. Int J Morphol. 2005;23(1):7-12.
Arslan H, Ceylan K et al. Incidence of retro-aortic left renal vein and its relationship with varicocele. Eur Radiol. 2005;15(8):1717-1720.
Fluckiger T, Eapen A et al. Retroaortic course of the left renal vein - developmental and clinical implications. Int J Anat Var. 2016;9:13-17.
Karaman B, Özturk E et al. Retroaortic left renal vein: multidetector computed tomography angiography findings and its clinical importance. Acta Radiol. 2007;48(3):355-360.
Đoàn Quốc Hưng, Nguyễn Duy Thắng và cộng sự. Biến đổi giải phẫu mạch máu thận ứng dụng trong ghép thận người cho sống tại Bệnh viện Việt Đức. Phẫu thuật Tim mạch và Lồng ngực Việt Nam. 2016;12:3-7.
Hsieh CL, Chou YH, et al. Retroaortic Left Renal Vein: Three Case Reports. J Med Ultrasound. 2012;20(2):115-118.
Nam JK, Lee SD et al. The clinical significance of a retroaortic left renal vein. Korean J Urol. 2010;51(4):276-280.
Mathews R, Fishman EK et al. Anomalies of the inferior vena cava and renal veins: Embryologic and surgical considerations. Urology. 1999;53(5):873-880.
Shindo S, Kojima A et al. Anomalies of inferior vena cava and left renal vein: risks in aortic surgery. Ann Vasc Surg. 2000;14(4):393-396.
John TW, Brown KA. Nutcracker phenomenon and nutcracker syndrome. Mayo Clin Proc. 2010;85(6):552-559.
Hostiuc S, Negoi I et al. Anatomical variants of renal veins: A meta-analysis of prevalence. Sci Reports. 2019;9(1):1-15.
Leckie A, Narayanasamy S et al. The Renal Vasculature: What the Radiologist Needs to Know. Radiographics. 2022;42(2): E80.
Mang J, Biernath N et al. Is a Retroaortic Vein a Risk Factor in Laparoscopic Living Donor Nephrectomy? Urol Int. 2020;104(7-8):641-645.
Patil AB, Nagaraj HK et al. Laparoscopic donor nephrectomy in unusual venous anatomy - donor and recepient implications. Int Braz J Urol. 2017;43(4):671-678.
Tatarano S, Yamada Y et al. Anatomical Variations of the Left Renal Vein During Laparoscopic Donor Nephrectomy. Transplant Proc. 2019;51(3):1311-1313.
Karkos CD, Thomson GJL et al. Retroaortic left renal vein and its implications in abdominal aortic surgery. Ann Vasc Surg. 2001;15(6):703-708.
| Published | 28-12-2024 | |
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| Issue | No. 88 (2023) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.88.10 | |
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