scholarly journals Surgical Approach to a Large Left Adrenocortical Mass with Associated Tumour Thrombosis of the Left Renal Vein: Preservation of the Ipsilateral Kidney

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Manuel Pérez Utrilla ◽  
Carlos Nuñez Mora ◽  
Alejandro Rojo Sebastián ◽  
Pedro M. Cabrera Castillo ◽  
José M. García Mediero

A sixty-years-old male with diagnosis of a left adrenal mass ( mm) with associated tumour thrombosis of the left renal vein with no clear signs of thrombosis of the inferior vena cava was admitted for elective surgery Finally an adrenalectomy and excision of tumour thrombus preserving the ipsilateral kidney was made. Despite of the complex vascular management, this kind of approaches allow to preserve normal renal function in patients with future nephrotoxic treatment like cisplatin.

2006 ◽  
Vol 32 (3) ◽  
pp. 403-406 ◽  
Author(s):  
Sevdenur Cizginer ◽  
Servet Tatli ◽  
Jeffrey Girshman ◽  
Joshua A. Beckman ◽  
Stuart G. Silverman

2021 ◽  
Vol 104 (9) ◽  
pp. 1459-1464

Objective: To determine the prevalence of inferior vena cava (IVC) anomalies in Thai patients who underwent contrast-enhanced computed tomography (CT) of the abdomen. Materials and Methods: Two radiologists retrospectively and independently reviewed the contrast-enhanced abdominal CT examinations in 1,429 Thai patients between August 1, 2018 and January 25, 2019 who met the inclusion criteria. Patients were included, if (a) their CT showed well visualized IVC, renal veins, and right ureter that were not obliterated by tumor, cyst, fluid collection, or intraperitoneal free fluid, (b) they had not undergone previous abdominal surgery that altered anatomical configuration of the IVC, renal veins, and right ureter. The presence of all IVC anomalies were recorded. Results: Among the 1,429 studied patients, 678 were male (47.4%) and 751 were female (52.6%). The prevalence of IVC anomalies was 3.5%. Five types of IVC anomalies were presented. The most common was circumaortic left renal vein in 24 patients or 48.0% of all IVC anomalies and 1.7% of the study population, followed by retroaortic left renal vein in 15 patients or 30.0 % of all IVC anomalies and 1.0% of the study population. Other IVC anomalies included double IVC, left IVC, and retrocaval ureter at 0.5%, 0.2%, and 0.1% of the study population, respectively. Conclusion: The prevalence of IVC anomalies in the present study differed from the previous studies conducted in other countries, which may be attributable to differences in race and ethnicity. Awareness of these anomalies is essential when evaluating routine CT examinations in asymptomatic patients. Their presence should be carefully noted in radiology reports to avoid anomaly-related complications. Keywords: Prevalence; IVC anomalies; Circumaortic left renal vein; Retroaortic left renal vein; Double IVC; Left IVC; Retrocaval ureter


1982 ◽  
Vol 127 (6) ◽  
pp. 1070-1071 ◽  
Author(s):  
Clifford Beinart ◽  
Kenneth W. Sniderman ◽  
Shozo Tamura ◽  
E. Darracott Vaughan ◽  
Thomas A. Sos

2000 ◽  
Vol 34 (6) ◽  
pp. 543-546
Author(s):  
Richard M. Young ◽  
W. John Sharp ◽  
Anthony D. Sandler ◽  
Jamal J. Hoballah ◽  
John D. Corson

2020 ◽  
Vol 54 (3) ◽  
pp. 297-300 ◽  
Author(s):  
Thomas Frederick Barge ◽  
Emma Wilton ◽  
Andrew Wigham

A 23-year-old presenting with an acute history of back pain, leg swelling, and claudication was diagnosed with an extensive iliocaval thrombosis, extending from the popliteal veins into the inferior vena cava (IVC) and left renal vein. He was treated with a combination of endovascular techniques, including EKOS and AngioJet. An underlying congenital IVC stenosis and May-Thurner type iliac vein compression were subsequently treated with venoplasty and stenting. To our knowledge, this is the first report of the use of EKOS for renal vein thrombosis and we highlight the complementary nature of different endovascular techniques for managing complex venous thrombotic disease.


2017 ◽  
Vol 13 (4) ◽  
pp. 369-371
Author(s):  
P. Bhagavath ◽  
B.S. Nayak ◽  
N.P.F. Monteiro ◽  
G.P. Kumar

Kidneys are the organs that remove the waste products of the metabolic activities. A smooth blood flow to the kidneys is essential to maintain their function. Abnormalities of the renal vasculature may result not only in impairing the renal function but can lead to conditions like varicocele. During an autopsy of an adult male, we observed renal vascular variations. The left renal vein had a retro-aortic course before its termination into the inferior vena cava. It was joined with the inferior vena cava at the level of inferior mesenteric artery with an acute angle. The left testicular vein joined the left renal vein with an acute angle. The right kidney was supplied by two renal arteries. The knowledge about retro-aortic course of the left renal vein may be important during renal transplantation. The oblique course of left renal vein and the termination of left testicular vein into it with an acute angle may increase the chances of left sided varicocele.


2016 ◽  
Vol 5 (2) ◽  
pp. 92-96
Author(s):  
Alejandro M Russo

El conocimiento de la anatomía venosa del riñón y sus variaciones es esencial para realizar cualquier tipo de procedimiento en la región. Se reporta una variante del árbol venoso del riñón izquierdo, encontrado durante la disección cadavérica, la vena renal izquierda retro-aórtica. Se trató de un tronco único originado a nivel del hilio renal izquierdo que discurrió por detrás de la arteria aorta abdominal para finalizar en la vena cava inferior. La existencia de este vaso se asocia a la embriología de la vena cava inferior. Se discuten aspectos quirúrgicos, radiológicos y embriológicos de su persistencia. Otras implicancias clínicas también son comentadas. Understanding of the renal venous anatomy and its variations is essential to perform any procedure in the region. We report a variation of the left renal venous tree found during a cadaveric dissection, the retro-aortic left renal vein. It was a unique venous trunk that emerged from the left renal hilum and traveled dorsally to the abdominal aorta before reaching the inferior vena cava. The existence of this vessel is associated to the embryology of the inferior vena cava. We discuss the surgical, radiological and possible embryological aspects. Other clinical implications are also considered. 


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