Rare case of circumaortic left renal vein with fenestration and nutcracker phenomenon
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250707Keywords:
Circumaortic left renal vein, Fenestration, Nutcracker phenomenon, HematuriaAbstract
Circumaortic left renal vein (CLRV) is a rare venous anomaly. It is usually clinically silent until discovered accidentally during an operation, imaging or an autopsy. Vascular fenestrations are most commonly seen in the arterial system or cerebral vessels and rarely in the venous system. Nutcracker phenomenon is usually associated with CLRV anomaly. We have described a case of a 31-year- old female who presented to the Department of Nephrology with CLRV, along with retro aortic renal vein fenestration and anterior nutcracker phenomenon. Since this variation is rarely diagnosed, it is important to have knowledge about such anomalies to rule it out as a differential diagnosis of haematuria. This information will also prevent iatrogenic injuries during surgical procedures.
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Panagar AD, Subhash RL, Suresh BS, Nagaraj DN. Circumaortic left renal vein-a rare case report. JCDR. 2014;8(3):111. DOI: https://doi.org/10.7860/JCDR/2014/6634.4122
Kyung DS, Lee JH, Shin DY, Kim DK, Choi IJ. The double retro-aortic left renal vein. Anatomy & Cell Biology. 2012;45(4):282-4. DOI: https://doi.org/10.5115/acb.2012.45.4.282
Hostiuc S, Rusu MC, Negoi I, Dorobanțu B, Grigoriu M. Anatomical variants of renal veins: a meta-analysis of prevalence. Scientific Reports. 2019;9(1):10802. DOI: https://doi.org/10.1038/s41598-019-47280-8
Junejo S, Singh S, Tuli S. Double retroaortic left renal vein. International J of Recent Surg and Med Sci. 2017;3:117–8. DOI: https://doi.org/10.5005/jp-journals-10053-0055
Skeik N, Gloviczki P, Macedo TA. Posterior nutcracker syndrome. Vascular and endovascular surgery. 2011;45(8):749-55. DOI: https://doi.org/10.1177/1538574411419376
Wang RF, Zhou CZ, Fu YQ, Lv WF. Nutcracker syndrome accompanied by hypertension: a case report and literature review. J of Int Med Res. 2021;49(1):0300060520985733. DOI: https://doi.org/10.1177/0300060520985733
Gündoğdu E, Serçek M, Aşılıoğlu BK, Gündoğdu M. The first reported case of left renal vein fenestration. Surg and Radiol An. 2022;44(8):1181-4. DOI: https://doi.org/10.1007/s00276-022-03000-y
Duncan AA. How I treat nutcracker syndrome. J Vasc Surg Cases, Innov and Tech. 2023;9(4):101344. DOI: https://doi.org/10.1016/j.jvscit.2023.101344
Shaheen R, Jamil MN. Anatomical pattern and variations of left renal vein. In Medical Forum. 2018;29(3):56-9.
Natsis K, Tsitouridis I, Totlis T, Levva S, Tsikaras P, Skandalakis P. Proposal for classification of the circumaortic renal collar's morphology. The American Surg. 2008;74(12):1190-4. DOI: https://doi.org/10.1177/000313480807401212
Glick Y, Narkhede A. Double retroaortic left renal vein. 2015. Available at: in Radiopaedia.org. Accessed on 28 August 2024. DOI: https://doi.org/10.53347/rID-33981
Rompsaithong U, Amarttayakong P, Kanpittaya J, Chaiyamoon A, Sangkhano S. Retroaortic left renal vein and its new Variations: Triple retroaortic and circumiliac left renal veins. Asia-Pacific J Sci and Technol. 2022;27(05):89-93.
Karaman B. Retroaortic left renal vein: multidetector computed tomography angiography findings and its clinical importance. Acta radiol. 2007;48:355–60. DOI: https://doi.org/10.1080/02841850701244755
Karkos CD, Bruce IA, Thomson GJ, Lambert ME. Retroaortic left renal vein and its implications in abdominal aortic surgery. Ann Vasc Surg. 2001;15(6):703-8. DOI: https://doi.org/10.1007/s10016-001-0022-y
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