Macroanatomical Investigations on Renal Arteries of Southern Karaman Sheep

In this study, it was aimed to investigate the arterial vascularization of the kidneys in the South Karaman sheep breed. Twelve South Karaman sheep kidneys were used in the study. The course of the renal arteries in the kidney was examined by means of dissection and corrosion cast techniques. The kidneys were vascularized with right renal artery and left renal artery to the arteries originating from the abdominal aorta. Right renal artery was seen to be slightly more prominent than the left renal artery. Left renal artery was measured longer and thicker than the right renal artery. The renal artery entering the renal hilus, dorsal and ventral part of the renal artery were detected. However, in several materials, the left renal artery was shown to have a third branch. The dorsal and ventral branches gave interlobar artery with numbers ranging from 2-5. Each interlobar artery had multiple arcuate artery. These arteries ended by giving the interlobular artery. Anastomosis was not observed between the renal arteries. Although there were some important variations in the distribution of renal arteries of South Karaman sheep, similar findings were reported in the literature.

Extensive Renal Arteriovenous Malformations Treated by Transcatheter Arterial Embolization

An 84-year-old woman was referred to our department due to gross hematuria. Enhanced computed tomography revealed early enhancement of the right renal vein and multiple tortuous vessels around the right renal hilus, part of which had invaded into the renal parenchyma and renal calix. We diagnosed her with arteriovenous malformations (AVMs) and performed transcatheter arterial embolization (TAE). Angiography showed extensive and complex AVMs located in the central and peripheral areas of her kidney. After TAE, the hematuria resolved and she became hemodynamically stable.

CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele

After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.

Retroperitoneal unicentric Castleman's disease (giant lymph node hyperplasia): case report

CONTEXT AND OBJECTIVE: Castleman's disease, or giant lymph node hyperplasia, is a rare disorder of the lymphoid tissue that causes lymph node enlargement. It is considered benign in its localized form, but aggressive in the multicentric type. The definitive diagnosis is based on postoperative pathological findings. The aim here was to describe a case of retroperitoneal unicentric Castleman's disease in the retroperitoneum. CASE REPORT: A 61-year old white male with weight loss and listlessness presented with moderate arterial hypertension and leukopenia. Abdominal tomography revealed a 5 x 4 x 5 cm oval mass of low attenuation, with inner calcification and intense enhancement on intravenous contrast, located in the retroperitoneal region, between the left kidney and the aorta, at the renal hilus. Exploratory laparotomy revealed a non-pulsatile solid oval mass situated in the retroperitoneum, adjacent to the left renal hilus. The retroperitoneal lesion was removed in its entirety. Examination of frozen samples revealed benign lymph node tissue and histopathological examination of the surgical sample revealed hyaline-vascular giant lymph node hyperplasia (Castleman's disease). The patient was discharged on the 12th day without significant events. Two months after the operation, the patient was readmitted with severe cardiac insufficiency, acute renal failure and bronchopneumonia, which progressed to acute respiratory insufficiency, sepsis and death.