Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202300442
Jornal Vascular Brasileiro
Relato de Caso

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

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Abstract

We present two cases of multiple anatomical variations of the renal and gonadal vessels. The first case presented duplication of the renal vein and the presence of an accessory renal artery. However, the most interesting fact, in this case, was that the right gonadal vein emptied into the inferior right renal vein instead of ending in the inferior vena cava as would typically be the case. In the second case, we also found an accessory renal artery and the right gonadal vein emptied at the exact junction between the right renal vein and the inferior vena cava. Clinicians and surgeons should be familiar with anatomical variations to provide an accurate diagnosis during preoperative studies and to avoid surprises in abdominal surgical procedures.

Keywords

renal vein; accessory renal artery; gonadal vein; anatomical variation

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

veia renal; artéria renal acessória; veia gonadal; variação anatômica

Referências

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Submetido em:
29/06/2023

Aceito em:
15/01/2024

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