Öz
Introduction: Retroperitoneal vascular structure anomalies are not uncommon, with an incidence of 13 to 30 per 100 people. Renal vascular anomalies are responsible for more than half of the cases.
Case: We report a circumaortic left renal vein during the staging surgery of a 39 years-old woman with ovarian tumor and a retroaortic left renal vein during the surgery of 43 years-old woman with ovarian tumor. There was no vascular injury associated with these anomalies.
Conclusion: While dealing with retroperitoneum, it is important to be aware of possible anomalies of vascular and renal structures for the surgeons because these anomalies can easily mislead the surgeon and there can be serious injury associated with these vessels.
Anahtar Kelimeler
Kaynakça
- Benedetti-Panici P, Maneshi F, Scambia G. Anatomic abnormalities of the retroperitoneum encountered during aortic and pelvic lymphadenectomy. Am J Obstet Gynecol 1994; 170(1): 111-6.
- Bartle EJ, Pears WH, Sun JH, Rutherford RB. Infrarenal venous anomalies and aortic surgery: Avoiding vascular injury. J Vasc Surg 1987; 6(6): 590-3.
- Brenner BJ, Darling RC, Frederick PL, Linton RR. Major venous anomalies complicating abdominal aortic surgery. Arch Surg 1974; 108(2): 159-65.
- Natsis K, Tsitouridis I, Totlis T, Levva S, Tsikaras P, Skandalakis P. Proposal for classification of the circumaortic renal collar’s morphology. Am Surg 2008; 74(12): 1190-4.
- Karaman B, Koplay M, Ozturk E, Basekim CC, Ogul H, Mutlu H, et al. Retroaortic left renal vein: Multidetector computed tomography angiography findings and its clinical importance. Acta Radiol 2007; 48(3): 355-60.
- Shindo S, Kubota K, Kojima A, Iyori K, Ishimoto T, Kobayashi M, et al. Anomalies of inferior vena cava and left renal vein:risks in aortic surgery. Ann Vasc Surg 2000; 14(4): 393-6.
- Kose MF, Turan T, Karasu Y, Gundogdu B, Boran N, Tulunay G. Anomalies of major retroperitoneal vascular structure. Int J Gynecol Cancer 2011; 21(7): 1312-9.
Öz
Olgu: Biz burada ilk vakada 39 yaşında overyan tümor nedeniyle evreleme cerrahisi geçiren 39 yaşındaki bir hastada sol sirkümaortik renal veni ve ikinci hastada ise yine overyan tumor nedeniyle cerrahi yapılan 43 yaşındaki bir hastada sol retroaortik renal veni sunduk. Bu anomalilerden dolayı hastalarda damar hasarı oluşmadı.
Sonuç: Retroperitonda çalışırken buradaki vasküler ve renal yapılardaki olası anomalilerin farkında olmalıyız, çünkü bu anomaliler kolaylıkla cerrahı yanlış yönlendirebilir ve bu yapılarda ciddi hasarlar meydana gelebilir.
Anahtar Kelimeler
Kaynakça
- Benedetti-Panici P, Maneshi F, Scambia G. Anatomic abnormalities of the retroperitoneum encountered during aortic and pelvic lymphadenectomy. Am J Obstet Gynecol 1994; 170(1): 111-6.
- Bartle EJ, Pears WH, Sun JH, Rutherford RB. Infrarenal venous anomalies and aortic surgery: Avoiding vascular injury. J Vasc Surg 1987; 6(6): 590-3.
- Brenner BJ, Darling RC, Frederick PL, Linton RR. Major venous anomalies complicating abdominal aortic surgery. Arch Surg 1974; 108(2): 159-65.
- Natsis K, Tsitouridis I, Totlis T, Levva S, Tsikaras P, Skandalakis P. Proposal for classification of the circumaortic renal collar’s morphology. Am Surg 2008; 74(12): 1190-4.
- Karaman B, Koplay M, Ozturk E, Basekim CC, Ogul H, Mutlu H, et al. Retroaortic left renal vein: Multidetector computed tomography angiography findings and its clinical importance. Acta Radiol 2007; 48(3): 355-60.
- Shindo S, Kubota K, Kojima A, Iyori K, Ishimoto T, Kobayashi M, et al. Anomalies of inferior vena cava and left renal vein:risks in aortic surgery. Ann Vasc Surg 2000; 14(4): 393-6.
- Kose MF, Turan T, Karasu Y, Gundogdu B, Boran N, Tulunay G. Anomalies of major retroperitoneal vascular structure. Int J Gynecol Cancer 2011; 21(7): 1312-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 48 Sayı: 2 |
