A unilateral pelvic kidney with variant vasculature: clinical significance

Gencheva, Ralitsa; Gibson, Bryce; Garugu, Shruthi; Forrest, Anthony; Velavan, Sumathilatha Sakthi

doi:10.1093/jscr/rjz333

Cited by 13 publications

(13 citation statements)

References 8 publications

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“…Multiple renal arteries are the most common variant among ectopic cases, with an incidence rate of 20%-30%. Considering the increase of renal transplants and laparoscopic techniques, detailed knowledge of ectopic kidneys is essential [ 6 , 7 ]. The presented case has a single renal artery.…”

Section: Discussionmentioning

confidence: 99%

Pelvic kidney with double, venous drainage

Georgiev

Tsvetkova

Chervenkov

et al. 2021

Radiology Case Reports

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An ectopic kidney is defined as an atypically placed kidney, due to improper migration from the fetal pelvis, during embryogenesis. The presented CT scan of 72-year-old male with pain and visible hematuria reveals that the right kidney is located in the pelvis. The ectopic kidney has malrotation with a calcified artery and 2 veins. One draining in the right common iliac vein and the other connected to the left common iliac vein—near the bifurcation of vena cava inferior. Usually, pelvic ectopy is asymptomatic. However, it may lead to elevated blood pressure, increased risk of stone formation, infections, and traumatism, due to the atypical anatomical position. Variations in the anatomy of the kidney and its vascular supply are of clinical importance. It is possible to encounter a radiological, surgical, or cancer case, such as the presented.

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Section: Discussionmentioning

confidence: 99%

Pelvic kidney with double, venous drainage

Georgiev

Tsvetkova

Chervenkov

et al. 2021

Radiology Case Reports

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“…The incidence rate of renal anomalies in this group is about 20%–30%. The pelvic kidney vasculature is so variable as a result of remaining of its embryological blood supply 5 …”

Section: Discussionmentioning

confidence: 99%

“…The pelvic kidney vasculature is so variable as a result of remaining of its embryological blood supply. 5 The prevalence of precaval right renal artery has been reported between 0.8% and 5%. The wide variation in prevalence rates may be due to distinct study populations (i.e., racial differences) and/or differences in study design.…”

Section: Case Reportmentioning

confidence: 99%

A solitary precaval right renal artery: A case report

Farahzadi

Mahmoodzadeh

Gopal

2022

Clinical Case Reports

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Knowledge of aberrant renal vasculature is critical for preoperative planning of either open or minimally invasive renal surgery. A precaval right renal artery is a rare anatomical variant in which the artery passes anterior to the inferior vena cava(IVC), as opposed to coursing posteriorly. When encountered, this artery is mostly accessory and thus accompanied by renal vessels in orthotopic position.Here, we describe an unusual instance of a solitary, main precaval right renal artery. It can be diagnosed preoperatively by a cross-sectional imaging study.

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“…It is not uncommon for ectopic kidneys to have double or triple arterial flows. 14 The arteries supplying pelvic kidneys may arise from the iliac arteries, aorta, hypogastric arteries or middle sacral arteries. 9 When the single arterial supply to a normal kidney becomes compromised, there is no compensatory anastomotic flow to protect against ischemia.…”

Section: Introductionmentioning

confidence: 99%

Renal artery dissection as an overuse Injury

Grasso

Laurel

Lewis

et al. 2020

SAGE Open Medical Case Reports

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The diagnosis of renal infarction is often convoluted due to its non-specific presentation. It can mimic disease processes as disparate as pyelonephritis, diverticulitis, or nephrolithiasis. This case is further complicated by the presence of a pelvic kidney with triplicate arterial input. It is difficult to estimate the incidence of pelvic kidneys as the numerous sources vary wildly in their estimations; however, the paucity information, in and of itself, speaks to the rarity of the condition. In this case, a 58-year-old male presents to the emergency department after experiencing sharp, sudden, and severe groin pain while swinging a golf club. The patient was noted to have an abnormally high systolic blood pressure in the 170s and hematuria, but all other initial labs and assessments were unremarkable. An initial computed tomography scan with intravenous contrast of the abdomen and pelvis showed partial necrosis of a pelvic kidney. Follow-up computed tomography angiography revealed that a dissection in one of the arteries supplying the kidney created an infarction and resultant necrosis. Vessel size, location and time between injury and diagnosis made endovascular intervention impractical. The patient was started on aspirin and Plavix, observed for 3 days and sent home.

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A unilateral pelvic kidney with variant vasculature: clinical significance

Cited by 13 publications

References 8 publications

Pelvic kidney with double, venous drainage

Pelvic kidney with double, venous drainage

A solitary precaval right renal artery: A case report

Renal artery dissection as an overuse Injury

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