ANATOMIC PATTERNS OF RIGHT RENAL VEIN

Authors

  • Robina Shaheen Ayub medical College
  • Muhammad Nasir Jamil
  • Umar Farooq

Abstract

Background: Preoperative surgical planning assumes a central role in avoiding catastrophic outcomes of a surgery in the field of renal transplantation, and other urological procedures. This study was aimed to study the different anatomic patterns of human renal venous system. Methods: It is a descriptive cross-sectional study including 50 adult male cadavers with well-preserved kidneys, renal vasculature and the inferior vena cava. Cadavers with deformed or congenitally anomalous kidney, evidence of surgery, solitary kidney, tumours of kidneys or injured renal vessels / inferior vena cava were excluded from the study. The kidneys, renal veins and the inferior vena cava were exposed. After securing inferior vena cava fifty ml mixture of Indian ink and gelatine was injected into renal veins via inferior vena cava and was allowed to solidify. Following this, the renal venous anatomy was studied. Results: Twenty-eight cadavers had their right renal vein formed by 2 tributaries (56%), 13 (26%) had 3 tributaries, 5 (10%) had 4 tributaries, 1 cadaver had a posterior tributary (2%), while 3 cadavers had other numbers of tributaries (6%). Out of total 50 cadavers 40 (80%) had normal distribution of right renal vein. Additional renal veins were found in 14 (7%) cadavers, double renal veins in 1 (2%) and proximally double renal veins in 2 cadavers (4%). Conclusions: There is considerable variation in renal venous anatomy. Knowledge of common venous patterns is necessary for minimizing intra-operative damage to renal anatomy and to prevent intra- and post-operative complications.Keywords: renal vein; anatomy; kidney

References

Dhar P, Ajmani ML. Major anomalies of the left renal vein and inferior vena cava. Int Med J 2004;3(2):1–13.

Satyapal KS. The renal veins: a review. Eur J Anat 2003;7:43–52.

Satyapal KS, Kalideen JM, HafeejeeAA, Singh B, Robbs JV. Left renal vein variations. Surg Radiol Anat 1999;21(1):77–81.

Standring S, Ellis H, Healy JC, Johnson D, Williams A, Collins P, et al. Gray’s Anatomy. 39th ed. Edinburgh: Churchil Livingstone; 2005.

Sinnatamby CS. Last’s Anatomy Regional and Applied. 10th ed. Edinburgh: Churchil Livingstone; 1999.

Satayapal KS, Rambiritch V, Pillai G. Additional renal veins: Incidence and morphometry. Clin Anat 1995;8(1):51–5.

Bergman RA, Afifi AK, Miyauchi R. Illustrated Encyclopedia of Human Anatomic Variation, 2004. [Internet]. [cited 2017 Nov]. Available from: URL:www.vh.org/adult.provider/anatomy/anatomicvariants/cardiovascular/text/veins/renalsplenictesticular.html

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.

Verma R, Kalra S, Rana K. Malformation of renal and testicular veins-A case report. J Anat Soc India 2005;54(1):29–31.

Moore KL, Persaud TVN. The developing human. Clinically oriented embroyology. 7th ed. WB Saunders, Philadelphia; 2003.

Pan M, Basu BN. Human Embryology. 6th ed. Karachi: Union Book Stall; 1974.

Yoshinaga K, Kawai K, Kodama K. An anatomical study of retroaortic left renal vein. Okajimas Folia Anat Jpn 2000;77(2-3):47–52.

Yahiro J, Miyoshi S. Double left renal veins and multiple right renal veins found in Japanese adults. Okajimas Folia Anat Jpn 1993;70(5):237–55.

Parra A, McGirt MJ, Sheng H, Laskowitz DT, Pearlstein RD, Warner DS. Mouse model of subarachnoid hemorrhage associated cerebral vasospasm: methodological analysis. Neurol Res 2002;24(5):510–6.

Sampaio FJ, Aragao AH. Anatomical relationship between renal venous arrangement and the kidney collecting system. J Urol 1990;144(5):1089–93.

Satyapal KS. Classification of the drainage patterns of renal veins. J Anat 1995;186(Pt 2):329–33.

Sarkar A, Dhar P, Ajmani ML. Venous drainage pattern of kidney: A corrosion cast study. Int Med J 2004;11(1):49–54.

Smith GT, Calne RY, Murray JE, Dammin GJ. Anatomic observations on the renal vessels in man with reference to kidney transplantation. Surg Gynecol Obstet 1962;115:682–8.

Merklin RJ, Mitchels NA. The variant renal and suprarenal blood supply with data on the inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of the literature. J Int Coll Surg 1958;29(1 Pt 1):41–76.

Janschek ECS, Rothe AU, Holzenbein TJ, Langer F, Brugger PC, Pokorny H, et al. Anatomic basis of right renal vein extension for cadaveric kidney transplantation. Urology 2004;63(4):660–4.

Zhu J, Zhanq L, Yang Z, Zhou H, Tanq G. Classification of the renal vein variations: a study with multidetector computed tomography. Surg Radiol Anat 2015;37(6):667–75.

Gupta A, Gupta R, Singh R. Congenital variations of renal veins: embryological background and clinical implications. J Clin Diagn Res 2011;5(6):1140–3.

Triple VR, Rara UV. Triple right renal vein: An uncommon variation. Int J Morphol 2005;23(3):231–3.

Nayak BS. Multiple variations of right renal vessels. Singapore Med J 2008;49(6):e153–5.

Baptista–Silva JC, Verissimo MJ, Castro MJ, Camara AL, Pestana JO. Anatomical study of renal veins observed during 342 living donor nephrectomies. Sao Paulo Med J 1997;115(3):1456–9.

Lappas D, Lekas A, Gisakis I, Kyriopoulou A, Chrisofos M, Deliveliotis C, et al. 641 Anatomic study of renal vessels (240 cases). Eur Urol Suppl 2007;6(2):183.

Biswas S, Chattopadhyay JC, Panicker H, Anbalagan J, Ghosh SK. Variations in renal and testicular veins- a case report. J Anat Soc India 2006;55(2):69–71.

Satheesha NB. Abnormal course of left testicular artery in relation to an abnormal left renal vein: a case report. Kathmandu Univ Med J (KUMJ) 2007;5(1):108–9.

Lavy M, Martin L, Eouzan D, Turco C, Heyd B, Mantion G, et al. An unusual case of Y- shaped right renal vein. Surg Radiol Anat 2015;37(1):101–4.

Senecail B, Bobuef J, Forlodou P, Nonent M. Two rare anomalies of the left renal vein. Surg Radiol Anat 2003;25(5-6):465–7.

Malcic-Gurbuz J, Akalin A, Gumuscu B, Cavdar S. Clinical Implications of Concomitant variations of the testicular, suprarenal and renal veins: a case report. Ann Anat 2002;184(1):35–9.

Trivedi S, Athavale S, Kotgiriwar S, Trivedi S, Athavale S, Kotgiriwar S. Normal and variant anatomy of renal hilar structures and its clinical significance. Int J Morphol 2011;29(4):1379–83.

Aljabri B, MacDonald PS, Satin R, Stein LS, Obrand DI, Steinmetz OK. Incidence of major venous and renal anomalies relevant to aorticiliac surgery as demonstrated by computed tomography. Ann Vasc Surg 2001;15(6):615–8.

Mangala S, Sathyamurthy B. An additional right renal vein and pre-hilar primary tributaries of left renal vein: embryological basis and clinical significance: A case report. Int J Anat Res 2015;3(3):1425–8.

Published

2018-12-09

Most read articles by the same author(s)