Arterial Glomerulus at the Hilum of the Right Kidney and the Abnormal Course of the Right Testicular Artery: a Case Report
,
Abstract
Variations in the origin of arteries in the abdomen are very common. With the invention of new operative techniques within the abdomen cavity, the anatomy of abdominal vessels has assumed a great deal of clinical importance. We report here a rare case of formation of an "arterial glomerulus" at the hilum of the right kidney by the branches of right renal artery. There were 2 renal veins; a superficial and a deep. The deep vein had a peculiar course through the arterial glomerulus. The right testicular vein drained into the deep renal vein. We also observed a variant origin and course of right testicular artery. Prior knowledge of unusual branching pattern of renal vessels is necessary in the surgical interventions which require hilar dissection. Similarly, abnormal origin or course of testicular artery becomes apparent during surgical procedures like varicocele and undescended testes. Therefore, knowledge of such an anomaly in the testicular artery helps to avoid iatrogenic injuries during radiological or surgical procedures.
Standring S, editor. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 39th ed. New York, NY: Churchill Livingstone; 2005: p. 1271-4.
Sinnatamby CS, editor. Last’s anatomy: regional and applied. 11th ed. London: Churchill Livingstone; 2006: p. 294.
Datta AK, editor. Essentials of Human anatomy (Thorax and Abdomen) Current books international. 7th ed. Calcutta: Current Books International; 2006: p. 140-277.
Moore KL, Persaud TVN, editors. The Developing Human: Clinically Oriented Embryology. 7th ed, Philadelphia: WB Saunders; 2002: p. 180-5.
Satyapal KS, Haffejee AA, Singh B, et al. Additional renal arteries: incidence and morphometry. Surg Radiol Anat 2001;23(1):33-8.
Cinman NM, Okeke Z, Smith AD. Pelvic kidney: associated diseases and treatment. J Endourol 2007;21(8):836-42.
Kaneko N, Kobayashi Y, Okada Y. Anatomic variations of the renal vessels pertinent to transperitoneal vascular control in the management of trauma. Surgery 2008;143(5):616-22.
Kumar N, Aithal AP, Guru A, et al. Bilateral vascular variations at the renal hilum: A case report. Case Rep Vasc Med 2012;2012:968506.
Bayramoglu A, Demiryyurek D, Erbil KM. Bilateral additional renal arteries and an additional right renal vein associated with unrotated kidneys. Saudi Med J 2003;24(5):535-7.
Baptista-Silva JC, Verissimo MJ, Castro MJ, et al. Anatomical study of the renal veins observed during 342 living-donor nephrectomies. Sao Paulo Med J 1997;115(3):1456-9.
Senecail B, Bobeuf J, Forlodou P, et al. Two rare anomalies of the left renal vein. Surg Radiol Anat 2003;25(5-6):465-7.
Bergman RA, Afifi AK, Miyauchi R. Renal Vascular Pedicle, continued. Anatomy atlases. (Accessed in May 17, 2014, at http://www.anatomyatlases.org/AnatomicVariants/Cardiov ascular/Images0300/0350B.shtml).
Rapp DE, Orvieto MA, Gerber GS, et al. En bloc stapling of renal hilum during laparoscopic nephrectomy and nephroureterectomy. Urology 2004;64(4):655-9.
Moore KL, Dalley AF, editors. Clinically oriented Anatomy. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2006: p. 311-84.
Notkovich H. Variation of testicular and ovarian arteries in relation to the renal pedicle. Surg Gynecol Obstet 1956;103(4):487-95.
Sylvia S, Sridhar VK, Venkata RV, et al. Bilateral variant testicular arteries with double renal arteries. Cases J 2009;2(2):112.
Li J, Ren ZF, Sun T. Bilateral high origins of testicular arteries: a rare variant. Rom J Morphol Embryol 2012;53(2):427-9.
Mamatha Y, Prakash BS, Padmalatha K. Rare variant origin of right testicular artery- A case report. Asian J Med Sci 2011;2(1):65-7.
Salve VM, Ashalatha K, Sawanth S, et al. Variant origin of right testicular artery-a rare case. Int J Anat Var 2010;3(1):22-4.
| Files | ||
| Issue | Vol 52, No 5 (2014) | |
| Section | Articles | |
| Keywords | ||
| Renal artery Renal vein Testicular artery Varicocele Arterial glomerulus | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
