Bilateral Multiple Renal Vessels Associated with Pyelo‐ureteral Position Anomalies. Case Report

Abstract

During the routine dissection of a 67‐year‐old male within our university's Department of Anatomy, we identified multiple renal vascular and ductal anomalies.The left kidney was irrigated by three arteries, two with a hilar penetration and one inferior polar artery. All three of these arteries originated from the aorta – two on the anterior side, at the L1 and L3 levels respectively, and the inferior one on the posterior face of the aorta, at the same level as the median sacral artery (L5). All three arteries had accompanying veins. The upper‐most artery was accompanied by the main renal vein, the middle artery – by one of the renal vein's tributaries, and the inferior one by two veins, which joined and opened into the left common iliac vein.The right kidney had two renal arteries, both of aortic origin – the superior one at the L1 level, 0.5cm below the superior mesenteric artery, and the inferior one on the anterior side of the aorta, at the L5 level and at the point where the aorta split into the two common iliac arteries. The superior artery entered the kidney through the sinus and was accompanied by the right renal artery. The inferior artery entered the kidney through the inferior pole, accompanied by a renal vein that drained into the left common iliac vein together with the left inferior polar renal vein.In both kidneys, the renal pelvis was anterior of the vessels, with the ureters having a descending path on the anterior side of the kidneys.Familiarity with such variations in renal vascular and ductal elements is critical for surgical interventions such as for total or partial nephrectomies, aortic aneurysms or renal artery reconstruction for stenosis.This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.