A unique perihilar renal vascular variation with fenestrated left renal vein: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20254395Keywords:
Fenestrated left renal vein, Retro aortic vein, Renal vascular variation, Renal transplantationAbstract
Each kidney is supplied by one renal artery and one renal vein which arises as a lateral branch of abdominal aorta and inferior vena cava respectively between the upper and lower margins of the first and second lumbar vertebrae. Here we report a case of fenestrated left renal vein, retro aortic vein and renal artery variation in a left-sided kidney emphasizing clinical, functional, and embryological perspectives of renal vascular variation. Precise knowledge of renal vascular anatomy and its variations are essential to prevent complications during surgical interventions, especially during kidney transplantation.
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Shao P, Qin C, Yin C, Meng X, Ju X, Li J et al. Laparoscopic partial nephrectomy with segmental renal artery clamping: technique and clinical outcomes. Eur Urol. 2011;59(5):849–55. DOI: https://doi.org/10.1016/j.eururo.2010.11.037
More MS, Togale MD, Dixit D, Desai SP. A morphometric study of human adult cadaveric kidneys. MedPulse – International Medical Journal. 2015;2(6):355-8.
Standring S: Gray’s Anatomy: the anatomical basis of clinical practice.2005;26(10):1269-84.
Rojas-Canales DM, Li JY, Makuei L, Gleadle JM. Compensatory renal hypertrophy following nephrectomy: When and How?. Nephrology (carlton). 2019;24(12):1225-32. DOI: https://doi.org/10.1111/nep.13578
Gundogdu E, Sercek M, Asilioglu BK, Gundogdu M. The first reported case of left renal vein fenestration. Surg Radiol Anat. 2022;44(8):1181–4. DOI: https://doi.org/10.1007/s00276-022-03000-y
Yılmaz E, Tatar C, Keskin A, Yalçın B, Gürses IA. Left testicular artery with high origin passing through a left renal vein fenestration and double right renal arteries in a male cadaver: a case report. Folia Morphol (Warsz). 2024;83(4):947-51. DOI: https://doi.org/10.5603/fm.98267
Padur AA, Kumar N. Unique variation of the left testicular artery passing through a vascular hiatus in renal vein. Anat Cell Biol. 2019; 52(1): 105–7. DOI: https://doi.org/10.5115/acb.2019.52.1.105
Damen NS, Jianu AM, Rusu MC. The prevalence of the fenestrated left renal vein. Surg Radiol Anat. 2025;47(1):100. DOI: https://doi.org/10.1007/s00276-025-03614-y
Loukas M, Tubbs RS. Adrenal, renal, gonadal, Azygos, hemiazygos, lumbar, and ascending lumbar veins. Bergman’s comprehensive encyclopedia of human anatomic variation. 2016;891–3. DOI: https://doi.org/10.1002/9781118430309.ch69
Mathews R, Smith PA, Fishman EK, Marshall FF. Anomalies of the inferior vena cava and renal veins: embryologic and surgical considerations. Urology. 1999;53(5):873–80. DOI: https://doi.org/10.1016/S0090-4295(99)00007-2
Nam JK, Park SW, Lee SD, Chung MK. The clinical significance of a retroaortic left renal vein. Korean J Urol. 2010;51(4):276–80. DOI: https://doi.org/10.4111/kju.2010.51.4.276
Felix W. Mesonephric arteries (aa. mesonephricae) and veins of mesonephros. Manual of human embryology. 1912;2:820–8.
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
Weld KJ, Bhayani SB, Belani J, Ames CD, Hruby G, Landman J. Extrarenal vascular anatomy of kidney: assessment of variations and their relevance to partial nephrectomy. Urology. 2005;66(5):985–9. DOI: https://doi.org/10.1016/j.urology.2005.05.023
Kang WY, Sung DJ, Park BJ, Kim MJ, Han NY, Cho SB et al. Perihilar branching patterns of renal artery and extrarenal length of arterial branches and tumour-feeding arteries on multidetector CT angiography. Br J Radiol. 2013;86(1023):20120387. DOI: https://doi.org/10.1259/bjr.20120387
Budhiraja V, Rastogi R, Jain V, Saxena A, Asthana P. Anatomical variations of renal artery and its clinical correlations: a cadaveric study from central India. J Morphol Sci. 2013;30:228-33. DOI: https://doi.org/10.5402/2013/828969
Sampaio FJ. and Passos MA. Renal arteries: anatomic study for surgical and radiological practice. Surg Radiol Anat.1992;14(2):113 -7. DOI: https://doi.org/10.1007/BF01794885