Öz
Renal venöz sistem sınıflandırmasına yönelik çok sayıda çalışma yapılmasına karşın, anormal venöz drenaj yolakları ile ilgili literatürde yeterli bilgi mevcut değildir. Biz bu vakada, asemptomatik hematürisi olan hastada sağ böbreğe ait anormal venöz drenaj tanımladık. Yapılan ultrasonografi ve Bilgisayarlı Tomografi incelemelerinde, inferior vena kava drenajının dışında, sağ böbreğe ait anormal venöz yolağın asendan lomber pleksusa drene olduğu saptandı. Renal ven anomalileri oldukça nadirdir ve sıklıkla başka endikasyonlar için yapılan tetkiklerde rastlantısal olarak saptanır. Bu tip anomalilerin varlığı, değişik girişimsel işlemlerde gözönünde bulundurulmalıdır. Gözden kaçması durumunda, bu tip değişik anomali veya varyasyonlar ciddi komplikasyonlara, hatta ölüme neden olabilir.
Anahtar Kelimeler
Kaynakça
- 1. Anjamrooz SH, Azari H, Abedinzadeh M. Abnormal patterns of the renal veins. Anat Cell Biol 2012;45:57-61.
- 2. Hassan SS, El-Shaarawy EA, Johnson JC, Youakim MF, Ettarh R. Incidence of variations in human cadaveric renal vessels. Folia Morphol (Warsz) 2017;76:394-407.
- 3. Pallangyo P, Lyimo F, Nicholaus P, Masatu S, Janabi M. Bilateral anomalous drainage of the posterior divisions of renal veins into the azygos venous system in a 20-year-old woman: a case report. J Med Case Rep 2016;10:344.
- 4. Nayak BS. Multiple variations of the right renal vessels. Singapore Med J 2008;49: 153-155.
- 5. Sabouri S, Hosseini A, Shivaei SS. Retro-aortic inverted left renal vein: a rare anomaly found in a renal donor. Iran J Radiol 2015;12.
- 6. Satyapal KS. Classification of the drainage patterns of the renal veins. J Anat 1995;186:329-333.
- 7. Satyapal KS. The renal veins: a review. Eur J Anat 2003;7:43-52.
- 8. Muraoka N, Sakai T, Kimura H, Uematsu H, Tanase K, Yokoyama O, et al. Rare causes of hematuria associated with various vascular diseases involving the upper urinary tract. Radiographics 2008;28:855-867.
- 9. Pandya VK, Patel AS, Sutariya HC, Gandhi SP. Evaluation of renal vascular anatomy in live renal donors: Role of multi detector computed tomography. Urol Ann 2016;8:270.
- 10. Mazengenya P. Multiple variations of the renal and testicular vessels: possible embryological basis and clinical importance. Surg Radiol Anat 2016;38:729-733.
Öz
Background: Although several studies were performed for the classification of renal venous system, abnormal venous drainage pathways were so few mentioned in literature.
Case report: Herein, we present a very rare case of a patient with asymptomatic hematuria who had an abnormal venous drainage of right kidney. Performed ultrasonography and Computed Tomography exams revealed an abnormal venous pathway outside the renal hilum of right kidney draining to lumbar venous plexus, unlike inferior vena cava.
Conclusion: Anomalies of renal veins are relatively rare, usually detected during routine examinations performed for other indications. Be aware of such anomalies is important in several interventional procedures. If unrecognized, these anomalies or variations may lead to significant complications or death.
Anahtar Kelimeler
Kaynakça
- 1. Anjamrooz SH, Azari H, Abedinzadeh M. Abnormal patterns of the renal veins. Anat Cell Biol 2012;45:57-61.
- 2. Hassan SS, El-Shaarawy EA, Johnson JC, Youakim MF, Ettarh R. Incidence of variations in human cadaveric renal vessels. Folia Morphol (Warsz) 2017;76:394-407.
- 3. Pallangyo P, Lyimo F, Nicholaus P, Masatu S, Janabi M. Bilateral anomalous drainage of the posterior divisions of renal veins into the azygos venous system in a 20-year-old woman: a case report. J Med Case Rep 2016;10:344.
- 4. Nayak BS. Multiple variations of the right renal vessels. Singapore Med J 2008;49: 153-155.
- 5. Sabouri S, Hosseini A, Shivaei SS. Retro-aortic inverted left renal vein: a rare anomaly found in a renal donor. Iran J Radiol 2015;12.
- 6. Satyapal KS. Classification of the drainage patterns of the renal veins. J Anat 1995;186:329-333.
- 7. Satyapal KS. The renal veins: a review. Eur J Anat 2003;7:43-52.
- 8. Muraoka N, Sakai T, Kimura H, Uematsu H, Tanase K, Yokoyama O, et al. Rare causes of hematuria associated with various vascular diseases involving the upper urinary tract. Radiographics 2008;28:855-867.
- 9. Pandya VK, Patel AS, Sutariya HC, Gandhi SP. Evaluation of renal vascular anatomy in live renal donors: Role of multi detector computed tomography. Urol Ann 2016;8:270.
- 10. Mazengenya P. Multiple variations of the renal and testicular vessels: possible embryological basis and clinical importance. Surg Radiol Anat 2016;38:729-733.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2020 |
| Kabul Tarihi | 9 Mart 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 5 Sayı: 1 |
