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Double right renal vein: clinical and surgical implications and review of the literature

机译:右肾双静脉:临床和手术意义及文献复习

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Context: Variations in renal vascular morphology are relatively common and involve both the renal arteries and the renal veins. Presence of supernumerary vessels is the variation most frequently encountered. Knowledge of such findings is valuable for urologists with regard to kidney transplantation, nephrectomy, vascular anastomosis, selective catheterization and many other surgical procedures on the kidneys. Objective: To report on a case of duplication of the right renal vein and its clinical and surgical implications. Case report: In one dissected specimen from a male cadaver, the presence of two right renal veins parallel to each other was observed in a position anteroinferior to the right renal artery. One vein emerged from the upper portion of the renal hilum, while the other emerged from the lower portion of the hilum. The two veins drained separately into the inferior vena cava, and neither of them received any tributaries. Conclusion: Knowledge of these vascular variations is important for urologists, vascular surgeons and radiologists, given that performing angiography prior to surgical interventions in the retroperitoneal space avoids complications, especially with regard to kidney transplantation.
机译:背景:肾血管形态变化相对普遍,涉及肾脏动脉和肾静脉。多余血管的存在是最常遇到的变化。这些发现的知识对于泌尿科医师在肾脏移植,肾切除术,血管吻合术,选择性导管插入术以及肾脏上许多其他外科手术方面具有重要价值。目的:报告一例右肾静脉重复的病例及其临床和手术意义。病例报告:在从一个男性尸体上解剖的一个标本中,在右肾动脉的下方位置观察到两条彼此平行的右肾静脉。一个静脉从肾门的上部露出,而另一静脉从肾门的下部露出。两条静脉分别排入下腔静脉,它们都没有支流。结论:了解这些血管变化对泌尿科医师,血管外科医师和放射科医师很重要,因为在腹膜后间隙进行外科手术之前进行血管造影可以避免并发症,尤其是在肾移植方面。

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