Multiple variation of right renal and gonadal vascularization: report of two cases
Variação múltipla da vascularização renal e gonadal direita: relato de dois casos
Marcelo Calil Burihan; Silvio Antonio Garbelotti Junior; Paulo Laino Cândido; Rodrigo Barbosa de Souza; Osvaldo Pelozo Junior; Aluisio Andrade Junior; Marco Antonio De Angelis
Abstract
Keywords
Resumo
Este estudo apresenta dois casos de variação anatômica múltipla de vasos renais e gonadais. O primeiro caso apresentou uma duplicação da veia renal e a presença de uma artéria renal acessória. Porém, o fato mais interessante nesse caso foi a veia gonadal direita desembocar na veia renal direita inferior em vez de terminar na veia cava inferior, como seria o normal. No segundo caso, além de também encontrarmos uma artéria renal acessória, a veia gonadal direita desembocava no exato ponto de junção entre a veia renal direita e a veia cava inferior. Clínicos e cirurgiões devem estar familiarizados com a presença de possíveis variações dos vasos renais e gonadais, sendo um conhecimento imprescindível para obter um diagnóstico mais preciso e para evitar surpresas em procedimentos cirúrgicos abdominais.
Palavras-chave
References
1 Mir NS, Ul Hassan A, Rangrez R, et al. Bilateral duplication of renal vessels: anatomical, medical and surgical perspective. Int J Health Sci. 2008;2(2):179-85. PMid:21475502.
2 Nayak SB, Vasudeva SK. Triple right testicular veins and their variant termination and communications. Heliyon. 2020;6(9):e05014.
3 Bouzouita A, Saadi A, Hermi A, et al. Cadaveric study of arterial renal anatomy and its surgical implications in partial nephrectomy. Surg Radiol Anat. 2021;43(9):1449-59.
4 Bowdino CS, Owens J, Shaw PM. Anatomy, abdomen and pelvis, renal veins. Treasure Island: StatPearls Publishing; 2023.
5 Cicek SK, Ergun S, Akıncı O, Sarıyar M. Renal vascular and ureteral anatomic variations in 1859 potential living renal donors. Transplant Proc. 2021;53(7):2153-6.
6 Standring S. Anatomy the anatomical basis of clinical practice. London: Elsevier; 2021.
7 Tubbs RS, Salter EG, Oakes WJ. Unusual drainage of the testicular veins. Clin Anat. 2005;18(7):536-9.
8 Baptista-Silva JC, Veríssimo MJ, Castro MJ, Câmara AL, Pestana JO. Anatomical study of the renal veins observed during 342 living-donor nephrectomies. Sao Paulo Med J. 1997;115(3):1456-9.
9 Sebben GA, Rocha SL, Quidigno EA, Caliari EADS, Caliari HADS. Variation of the renal artery: anatomical study in corpses. Rev Med Resid. 2011;13(4):1-7.
10 Mello CF Jr, Araujo SA No, Carvalho AM Jr, Rebouças RB, Negromonte GRP, Oliveira CD. Multidetector computed tomography angiography of the renal arteries: normal anatomy and its variations. Radiol Bras. 2016;49(3):190-5.
11 Pradhay G, Gopidas GS, Pullara SK, et al. Prevalence and relevance of multiple renal arteries: a radioanatomical perspective. Cureus. 2021;13(10):e18957.
12 Macedo MEG, Iennaco ECR Jr, Oliveira GGS, Furlani HB, Campos LBC. Anatomical variants of the renal arteries: systematic review. Braz J Development. 2022;8(5):40569-79.
13 Ozan H, Gümüşalan Y, Onderoğlu S, Simşek C. High origin of gonadal arteries associated with other variations. Ann Anat. 1995;177(2):157-60.
14 Özdemir MB, Çelik HH, Aldur MM. Altered course of the right testicular artery. Clin Anat. 2004;17(1):67-9.
15 Sharma P, Salwan SK. Anomalous right testicular artery and vein: embryologic explanation and clinical implications. J Clin Diagn Res. 2011;5:1631-3.
16 Lee HB, Yang J, Maeng YH, Yoon SP. Bilateral multiple renal arteries with an extra-aortic origin and quadruple testicular veins. Anat Cell Biol. 2019;52(4):518-21.
17 Naito M, Terayama H, Nakamura Y, Hayashi S, Miyaki T, Itoh M. Left testicular artery arching over the ipsilateral renal vein. Asian J Androl. 2006;8(1):107-10.
18 Nayak BS. Multiple variations of the right renal vessels. Singapore Med J. 2008;49(6):e153-5. PMid:18581008.
19 Ahlberg NE, Bartley O, Chidekel N. Right and left gonadal veins: an anatomical and statistical study. Acta Radiol Diagn. 1966;4(6):593-601.
20 Asala S, Chaudhary SC, Masumbuko-Kahamba N, Bidmos M. Anatomical variations in the human testicular blood vessels. Ann Anat. 2001;183(6):545-9.
21 Zini A, Buckspan M, Berardinucci D, Jarvi K. Loss of left testicular volume in men with clinical varicocele: correlation with grade of varicocele. Arch Androl. 1998;41(1):37-41.
Submitted date:
06/29/2023
Accepted date:
01/15/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email