open access

Vol 79, No 3 (2020)
CASE REPORTS
Published online: 2019-10-09
Submitted: 2019-08-11
Accepted: 2019-09-27
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Concomitant multiple anomalies of renal vessels and collecting system

D. Stojadinovic, I. Zivanovic-Macuzic, P. Sazdanovic, D. Jeremic, M. Jakovcevski, M. Minic, M. Kovacevic
DOI: 10.5603/FM.a2019.0108
·
Pubmed: 31617578
·
Folia Morphol 2020;79(3):627-633.

open access

Vol 79, No 3 (2020)
CASE REPORTS
Published online: 2019-10-09
Submitted: 2019-08-11
Accepted: 2019-09-27

Abstract

Although anomalies of renal vessels and collecting system are relatively frequent, their concomitant occurrence is a rare event. During dissection of a 75-year-old male formalin-embalmed cadaver, we found multiple variations in the renal vessels and renal collecting system. Both kidneys were normal in size and anteriorly malrotated, with duplex collecting system and duplex ureter. One ureter drained the upper part of the kidney and the second ureter drained the lower part of the kidney. Superior and inferior collecting systems were separated by renal parenchyma. The right kidney had two renal arteries, the first renal artery (main renal artery) originating from the abdominal aorta, passing behind the inferior vena cava (IVC) and entering the kidney through the superior and inferior renal hilum. The second artery was the inferior polar artery. In addition, the right kidney had two renal veins as well. Three renal tributaries emerged from the upper and lower portion of the right renal hilum, and they joined to form the main renal vein which drained into the IVC. The lower renal vein was the inferior polar vein. The left kidney had four renal arteries (two hilar arteries and two polar arteries). The main left renal vein emerged from both superior and inferior left renal hilum, passed in front of the abdominal aorta and drained into the IVC. The left kidney also had the inferior polar vein which was divided behind the aorta (retro aortic vein) into two venous trunks. These venous trunks drained separately into posteromedial
aspect of the IVC. Finally, the right testicular vein was formed by two tributaries and drained into the IVC, whereas the two left testicular veins drained separately into the left main renal vein.

Abstract

Although anomalies of renal vessels and collecting system are relatively frequent, their concomitant occurrence is a rare event. During dissection of a 75-year-old male formalin-embalmed cadaver, we found multiple variations in the renal vessels and renal collecting system. Both kidneys were normal in size and anteriorly malrotated, with duplex collecting system and duplex ureter. One ureter drained the upper part of the kidney and the second ureter drained the lower part of the kidney. Superior and inferior collecting systems were separated by renal parenchyma. The right kidney had two renal arteries, the first renal artery (main renal artery) originating from the abdominal aorta, passing behind the inferior vena cava (IVC) and entering the kidney through the superior and inferior renal hilum. The second artery was the inferior polar artery. In addition, the right kidney had two renal veins as well. Three renal tributaries emerged from the upper and lower portion of the right renal hilum, and they joined to form the main renal vein which drained into the IVC. The lower renal vein was the inferior polar vein. The left kidney had four renal arteries (two hilar arteries and two polar arteries). The main left renal vein emerged from both superior and inferior left renal hilum, passed in front of the abdominal aorta and drained into the IVC. The left kidney also had the inferior polar vein which was divided behind the aorta (retro aortic vein) into two venous trunks. These venous trunks drained separately into posteromedial
aspect of the IVC. Finally, the right testicular vein was formed by two tributaries and drained into the IVC, whereas the two left testicular veins drained separately into the left main renal vein.

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Keywords

anatomy; variation; renal artery; renal vein; kidney

About this article
Title

Concomitant multiple anomalies of renal vessels and collecting system

Journal

Folia Morphologica

Issue

Vol 79, No 3 (2020)

Pages

627-633

Published online

2019-10-09

DOI

10.5603/FM.a2019.0108

Pubmed

31617578

Bibliographic record

Folia Morphol 2020;79(3):627-633.

Keywords

anatomy
variation
renal artery
renal vein
kidney

Authors

D. Stojadinovic
I. Zivanovic-Macuzic
P. Sazdanovic
D. Jeremic
M. Jakovcevski
M. Minic
M. Kovacevic

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