scholarly journals A Rare Variation of Retroaortic Left Renal Vein Draining into Left Common Iliac Vein

2021 ◽  
Vol 44 (4) ◽  
pp. 53-58
Author(s):  
Sitthichok Fangmongkol
Keyword(s):  
Acute Appendicitis ◽  
Renal Vein ◽  
Anatomical Variation ◽  
Left Renal Vein ◽  
Fluid Collection ◽  
Lower Abdominal Pain ◽  
Iliac Vein ◽  
Wall Thickening ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein

A 24-year-old woman without underlying disease presented with right lower abdominal pain for a day. The patient’s clinical symptoms were suspected acute appendicitis and underwent multidetector computed tomography. There is diffuse enlarged appendix with diffuse wall thickening and enhancement as well as minimal surrounding fat stranding. Mild thickened peritoneum is also observed. There is no fluid collection or free air. The radiologist diagnosed acute appendicitis without complication. Incidentally, the patient was found a rare anatomical variation of the retroaortic left renal vein draining into left common iliac vein. Patient underwent appendectomy. We would like to present a characteristic imaging of the renal vein variations.  

Retroaortic left renal vein joining the left common iliac vein

2000 ◽  
Vol 10 (11) ◽  
pp. 1724-1725 ◽  
Author(s):  
G. Brancatelli ◽  
M. Galia ◽  
M. Finazzo ◽  
G. Sparacia ◽  
S. Pardo ◽  
...  
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein

scholarly journals The Myth of May Thurner

Phlebologie ◽  
2020 ◽  
Vol 49 (04) ◽  
pp. 230-232
Author(s):  
Irwin M. Toonder
Keyword(s):  
Threshold Value ◽  
Iliac Vein ◽  
Wall Thickening ◽  
Common Iliac Vein ◽  
Additional Information ◽  
Left Common Iliac Vein ◽  
Patient Complaints ◽  
Venous Collaterals ◽  
Specific Symptoms ◽  
Pelvic Congestion

AbstractLess invasive contemporary endovenous techniques with improved stents have made treatment of the May Thurner Syndrome(MTS) more accessible and safer. However, clear criteria for the accurate diagnosis remain obscure. All imaging modalities are performed with patients in a supine position were compression of the left Common Iliac Vein is seen in both asymptomatic and symptomatic patients. There is no clear threshold value. There are no validated hemodynamic criteria. This leads to the necessity of additional information such as measurements performed in an upright position as well as greater scrutiny in detecting fibrous wall thickening and spurs as well as identifying the presence of venous collaterals. Moreover, those contemplating treating MTS should not only identify specific symptoms, but also should consider that patient complaints may be related to a more complex presentation of pelvic congestion.

scholarly journals A single left renal vein draining into the common iliac vein

2017 ◽  
Vol 33 (2) ◽  
pp. 171
Author(s):  
AwadBakhit Kaabneh ◽  
SizephEdward Haddad ◽  
FerasAhmad Hammouri ◽  
AbdallaYosef Omari ◽  
MohammadK Abdadayem
Keyword(s):  
Renal Vein ◽  
Left Renal Vein ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
The Common

scholarly journals Recurrent Varicocele Associated With Congestion Pelvic Syndrome

2019 ◽  
Vol 4 (9) ◽  
Keyword(s):  
Surgical Technique ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Left Kidney ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Venous Compression ◽  
Low Body Mass Index ◽  
Technique Failure ◽  
Pelvic Congestion

Left Renal Vein compression, entitled as Nutcracker Syndrome, usually is described as cause of Pelvic Congestion once the difficult of drainage of the left kidney deviate vein flow to Gonadal vein developing Pelvic varices in women, and Varicocele in men. Recurrence of Varicocele is described to be between 1 to 35%, dependent on the surgical technique used to repair it. Among the cause of recurrent varicocele, include surgical technique failure, low Body Mass Index, venous plexus variation (persistence of branched spermatic veins), and venous compression. In this study, the authors present 2 cases of recurrent varicocele in young men caused by pelvic congestion due to the Left Renal Vein (LRV) and Left Common Iliac Vein (LCIV) compression, treated by endovascular techniques with good results. In the Literature there are few papers relating the association of both syndromes. Authors discuss of the association of recurrent varicocele and pelvic congestion, and also suggest a routine investigation of it in this recurrence.

scholarly journals A rare case of May-Thurner-like syndrome in an elderly lady

2014 ◽  
Vol 1 (2) ◽  
pp. 19
Author(s):  
Kapil Sahnan ◽  
Chris Pui Yan Yee ◽  
Robert Hywel Thomas ◽  
Kaji Sritharan
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Imaging Modality ◽  
Lumbar Vertebrae ◽  
Kidney Injury ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
Extrinsic Compression ◽  
Duplex Imaging

An elderly lady presented with decreased mobility, sputum production and intermittent confusion. She was treated for chest sepsis, fast atrial fibrillation, and acute kidney injury, and also noted to have a swollen left leg. Venous duplex imaging showed extensive thrombus within the left common iliac, left external iliac and left common femoral veins. A CT Venogram showed compression of the left common iliac vein between an osteophyte at L5 and a calcified ipsilateral common iliac artery. It also showed a pelvic kidney with an extra renal pelvis and large renal cyst which was indirectly contributing to venous compression by splinting the left iliac artery. A decision was made after discussion at the Vascular MDT that the patient was not fit enough for surgery and to manage her medically with anticoagulation. Discussion: Proximal DVT’s are rarer than distal thrombosis, but have similar causes. One of the rarer causes of proximal DVT is May-Thurner syndrome and its variants known collectively as non-thrombotic iliac vein lesions. May-Thurner originally described DVT formation caused by extrinsic compression of the left common iliac vein between the overriding contralateral (right) common iliac artery and adjacent lumbar vertebrae. The best imaging modality is a CT Venogram. Duplex ultrasonography can be used, although it can be difficult to visualize the iliac veins. The mainstay of management is surgical thrombectomy, or thrombolysis, followed by stenting of the affected vessel. However, if intervention is not appropriate, then it can be managed medically with anticoagulation. 

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