scholarly journals Anatomical characteristics of the left suprarenal vein (V. suprarenalis sinistra)

2013 ◽  
Vol 19 (4) ◽  
pp. 218-222
Author(s):  
S. Popescu ◽  
D.M. Iliescu ◽  
P. Bordei

Abstract Our study was performed on 82 cases, using as study methods the dissection and the plastic injection (Technovit 7143) followed by NaOH corrosion. The suprarenal vein traject was always straight, presenting two aspects: in 54.55 % of cases it was an oblique infero-medial traject and in 45.45 % of cases it was a vertical traject. The traject of the left gonadal vein was oblique supero-medial in 55.56 % of the cases and in 44.44 % of cases was vertical. Unlike the corresponding suprarenal vein, the left gonadal vein showed, in 19.44 % of cases, a sinuous traject. Regarding the left suprarenal vein termination site, we found that in 24 cases (50 % of cases), the suprarenal vein was lateral to the aorta, in 41.67 % of cases being closer to the aorta and 8.33 % of cases halfway aorta-left kidney. In the other 24 cases, the left suprarenal vein ends into the left renal vein in front of the aorta, in 25 % of cases on the anterolateral face of the aorta and in 33.33 % of cases closer to the midline; in one case this termination was right beyond the middle of the anterior face of the aorta. The termination of the left gonadal vein was assessed in 75 % of cases on the aortic side, in 37.5 % of cases being closer to the aorta and also in 37.5% of all cases being halfway aorta-left kidney. In 25% of the cases the left gonadal vein ended in into the renal vein on its anterolateral aspect. Comparing the renal termination of the suprarenal and gonadal veins we found that in 29.27 % of cases they ended at the same level, but in only 7.32 % of cases both veins had a vertical traject. In 60.97 % of the cases the gonadal vein ends lateral to the suprarenal vein and only in 9.76 % of the cases the gonadal vein ends medial to the suprarenal vein. We did not found the termination of the suprarenal and gonadal veins closer to kidney or the left gonadal vein end on the anterior face of the aorta.

2017 ◽  
Vol 18 ◽  
pp. 1086-1089
Author(s):  
Rodrigo B. Martino ◽  
Eserval Rocha Júnior ◽  
Valdano Manuel ◽  
Vinicius Rocha-Santos ◽  
Luis Augusto C. D\'Albuquerque ◽  
...  

2019 ◽  
Author(s):  
S Seyfettinoglu ◽  
G Khatib ◽  
U Kucukgoz Gulec ◽  
AB Guzel ◽  
Y Bayazit ◽  
...  

2018 ◽  
Vol 24 (2) ◽  
Author(s):  
Ihor Kobza ◽  
Irena Nesterenko ◽  
Volodymyr Nesterenko

The article presents the results of color Doppler ultrasonography of the left renal vein and gonadal vein with the determination of the peak systolic velocity of blood flow and abnormal blood reflux in patients with left-sided varicocele. The objective of the research was to compare preoperative ultrasound characteristics of the left renal vein, left gonadal vein, peak systolic velocity of blood flow and the presence of abnormal blood reflux, the formation of ultrasound criteria for the selection of patients for surgical correction of phlebohypertension. Results. Ultrasound signs of aorta mesenteric compression were absent in 24 (24.5%) patients; the signs of aorta mesenteric compression without critical left renal vein stenosis were observed in 64 (65.3%) patients; critical stenosis of the left renal vein was diagnosed in 10 (10.2 %) patients. The patients with critical stenosis of the left renal vein underwent left renal vein transposition. Conclusions. Ivanissevich surgery with prognostically low risk of relapse is recommended for the patients with left-sided varicocele without any signs of aorta mesenteric compression. Patients with the signs of aorta mesenteric compression require clear determination of the degree of left renal vein stenosis. We consider the transposition of the left renal vein to be indicated in case of critical stenosis when the correlation of the diameters of the distal and proximal segments of the left renal vein is ≥ 3 and the ratio of peak systolic velocities in the proximal and distal segments is ≥ 6. Thus, the diagnosis of phleborenohypertension in the patients with varicocele by means of color Doppler ultrasonography with the determination of blood flow velocity indicators in the left renal vein circulation and the determination of the critical stenosis of the left renal vein is decisive in choosing the surgical method of treatment. This provides an opportunity to evaluate the cause of varicocele occurrence and choose the optimal method of surgical treatment.  


1997 ◽  
Vol 115 (3) ◽  
pp. 1456-1459 ◽  
Author(s):  
José Carlos Costa Baptista-Silva ◽  
Marcos José Veríssimo ◽  
Marcos Joaquim Castro ◽  
André Luiz Guimarães Câmara ◽  
José Osmar Medina Pestana

The anatomical variations of renal veins observed during 342 nephrectomies in living donors are described, 311 cases on the left side and 31 on the right. The following anatomy of the renocava veins was observed: 1. On the left side the renal vein was always unique (311/311) and had two tributaries (suprarenal and gonadal veins) in 100 per cent and one or more renolumbar veins in 65.27 per cent, encircling the aorta in 1.07 per cent, was retroaortic in 1.4 per cent; and the inferior vena cava was double in 0.64 per cent; B- on the right side the renal vein was double in 29 per cent (9/31) and had only one tributary (gonadal vein) in one case, for 3.22 per cent (1/ 31); three or more renal veins in 9.7 per cent (3/31). We concluded that the left renal vein is always unique, presenting variations principally in its tributaries and trajectory. On the right side, the renal vein was double or triple in 38.79 per cent


2021 ◽  
Vol 100 (4) ◽  
pp. 190-193
Author(s):  
A.B. Alkhasov ◽  
◽  
R.O. Ignatyev ◽  
A.P. Fisenko ◽  
S.P. Yatsyk ◽  
...  

A complex case report of the diagnosis and surgical correction of ovaricovaricocele (OVC) in a girl with portal hypertension syndrome is presented. The disease manifested itself with symptoms atypical for portal hypertension – dysmenorrhagia and persistent recurrent pelvic pain. The cause of OVC was thrombosis of the left renal vein after splenorenal shunt. Venous hypertension of the left kidney persisted even after creating a mesenteric-caval anastomosis and improving portal hemodynamics. Left-sided ovarian-caval shunt was made with a good clinical effect, which was confirmed by angiography.


2011 ◽  
Vol 11 ◽  
pp. 1031-1035 ◽  
Author(s):  
Obi Ekwenna ◽  
Michael A. Gorin ◽  
Miguel Castellan ◽  
Victor Casillas ◽  
Gaetano Ciancio

Nutcracker syndrome is described as the symptomatic compression of left renal vein between the aorta and the superior mesenteric artery, resulting in outflow congestion of the left kidney. We present the case of a 51-year-old male with a left-sided inferior vena cava, resulting in compression of the right renal vein by the superior mesenteric artery. Secondary to this anatomic anomaly, the patient experienced a many-year history of flank pain and intermittent gross hematuria. We have termed this unusual anatomic finding and its associated symptoms as the “inverted nutcracker syndrome”, and describe its successful management with nephrectomy and autotransplantation.


2015 ◽  
Vol 97 (4) ◽  
pp. 482-484
Author(s):  
Maddalena Di Carlo ◽  
Caterina Gaudiano ◽  
Fiorenza Busato ◽  
Simone Pucci ◽  
Riccardo Schiavina ◽  
...  

The anterior nutcracker syndrome is defined by the compression of the left renal vein between the aorta and superior mesenteric artery, usually related to the occurrence of hematuria. We report the case of an uncommon complication of the nutcracker syndrome. A 75-year-old woman was referred to our institution for left flank pain without hematuria. Multiphasic computer tomography urography showed a condition of left renal vein entrapment between the aorta and superior mesenteric artery with the development of left gonadal vein varicosities at the level of the renal hilum; a pyeloureteral junction compression with dilation of the pyelocalyceal system coexisted. To our knowledge, this is the first report of the association between nutcracker syndrome and pyeloureteral junction obstruction.


2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Sakir Ongun ◽  
Sermin Coban ◽  
Abdullah Katgi ◽  
Funda Obuz ◽  
Aykut Kefi

A 31-year-old female presented with acute left flank pain; she had a C/S at the postpartum day 24. Ureteral stone was suspected but ultrasound examination was normal. Then Doppler ultrasound revealed a trombus in left renal vein and inferior vena cava. Contrast enhanced MDCT scan showed swelled and nonfunctional left kidney, a trombus including distal part of left ovarian vein, left renal vein, and inferior vena cava. We started anticoagulation treatment. Further examination revealed diagnosis of chronic myeloproliferative disease. The trombus was completely recanalized at 3-month followup.


2021 ◽  
Vol 28 (06) ◽  
pp. 928-930
Author(s):  
Fazal ur Rehman ◽  
Shakeel Ahmed ◽  
Waqas Ali ◽  
Asif Ali Khuhro ◽  
Sabiha Khan ◽  
...  

Improvement in outcome of Malignant solid tumor cases is credited to existence of well-defined guidelines and protocols and integrated treatment modalities involving chemotherapy, surgery and radiotherapy. The present case describes a rare case of Wilms tumor extending from the left kidney to left renal vein and then via inferior vena cava into the right atrium. This patients was 5 years of age and resident of Karachi presented to the outdoor of National Institute of Child Health (NICH) with the complaints of progressively increasing abdominal distension over the last two months that exacerbated with the agony of swelling in both lower limbs. On physical examination, a mass was palpable in the left abdominal area not crossing the midline. On initial scrutiny with haematological testing and the basic radiology workup in the form of ultrasound abdomen, the patient was found to have a mass originating in the left kidney and invading the left renal vein. CT scan abdomen with contrast revealed that the patient had a heterogeneously enhancing mass of 12 X 9 cm originating from the left kidney and invading the left renal vein. The size of the tumor encroaching into the right atrium cavity was 19.5 X 20.5 mm.


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