Accessory renal artery associated with congenital kidney anomalies

Yıl 2017, Cilt: 11 Sayı: 2, 67 - 71, 20.08.2017

Panneerselvam Sasikala Sabita Singh

Öz

Objectives: Common variations in the arterial supply of the kidney reflect the manner in which its vascularization changes during embryonic and early fetal life. The aim of the study was to determine the incidence of the accessory renal artery in association with congenital kidney anomalies.

Methods: The study was conducted on 37 dissected cadavers and 25 patients aged between 25–62 years who underwent renal CT angiography.

Results: Accessory renal artery associated with congenital kidney anomalies was observed in two cadavers: one had polycystic kidney disease with accessory renal artery in the right kidney, the second had malrotated kidney with accessory renal artery on the left kidney. Three cases in CT angiograms showed accessory renal artery with horseshoe kidney with three accessory renal arteries, pelvic kidney with accessory renal artery on the right side, and the third case had hypoplastic kidney with accessory renal artery on the right side.

Conclusion: Accessory renal artery can be due to the abnormal development of kidneys and variations in the positional anatomy of the kidney. This study supplements the presence of variations in renal arteries and its association with congenital kidney anomalies that are of clinical significance during diagnostic investigations and for avoiding complications during surgical approaches to the kidney.

Anahtar Kelimeler

accessory renal artery, horseshoe kidney, malrotated kidney, polycystic kidney

Kaynakça

• 1. Bannister LH, Berus MM, Collins P, Dyson M, Dusek JE, Ferguson MWJ. Gray’s anatomy. 40th ed. Edinburgh: Churchill Livingstone; 2008. p. 1225–33.
• 2. Bergman RA, Afifi AK, Miyauchi R. Illustrated encyclopedia of human anatomic variations: Opus II. Cardiovascular system: arteries: abdomen: renal arteries. http://www.anatomyatlases.org/Anatomic Variants/Cardiovascular/Text/Arteries/Renal.shtml [Retrieved April 7, 2010].
• 3. Hollinshead WH. Anatomy for surgeons. Volume 2. New York: Harper and Row; 1971. p. 533–46.
• 4. Bayramoglu A, Demiryurek D, Erbil KM. Bilateral additional renal arteries and an additional right renal vein associated with unrotated kidneys. Saudi Med J 2003;24:535–7.
• 5. Mcvay CB. Anson and Mcvay surgical anatomy. Volume 1. 6th ed. Philadelphia: W.B. Saunders; 1984. p. 739–43.
• 6. More Anju B, Hebbal GV, Rajesh S, Kunjumon PC. An unique asymmetrical bilateral variation of renal artery: right sided early division and left sided accessory/additional arteries. International Journal of Anatomy and Research 2014;2:583–8.
• 7. Cicekcibasi AE, Salbacak A, Seker M, Ziylan T, Buyukmumcu M, Tuncer I. An investigation of the origin, location, and variation of the renal arteries in human fetuses and their clinical relevance. Ann Anat 2005;187:421–7.
• 8. Banerjee SS, Paranjape, Arole V, Vatsalaswamy P. Variation of hilar anatomy in an incompletely rotated kidney associated with accessory renal vessels. Journal of Dr. D.Y. Patil University 2014;7:645–7.
• 9. Moore KL, Persaud TVN. Torchia MG. The developing human. Clinically oriented embryology. 9th ed. Philadelphia: Saunders; 2011. p. 249–50.
• 10. Nino-Murcia M, de Vries PA, Friedland GW. Congenital anomalies of the urinary tract. In: Pollack HM, McClennan BL, Dyer R, Kenny PJ, editors. Clinical urography. 2nd ed. Volume 1. Philadelphia: Saunders; 2000. p. 690-763.
• 11. Sadler TW. Langman’s medical embryology. 12th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2012. p. 238–40.
• 12. Felix W. Mesonephric arteries (aa. mesonephricae). In: Kiebel F, Mall FP, editors. Manual of human embryology. Vol. 2. Philadelphia: Lippincott; 1912. p. 820–5.
• 13. Dhar P, Lal K. Main and accessory renal arteries–a morphological study. Ital J Anat Embryol 2005;110:101–10.
• 14. Zagyapan R, Pelin C, Kürkçüo¤lu A. A retrospective study on multiple renal arteries in Turkish population. Anatomy 2009;3:35–9.
• 15. Zahoi DE, Miclaufl G, Alexa A, Sztika D, Pusztai AM, Farca Ureche M. Ectopic kidney with malrotation and bilateral multiple arteries diagnosed using CT angiography. Rom J Morphol Embryol 2010;51:589–92.
• 16. Manpreet K, Sangeeta W, Anupama M. Anomalies by birth in urogenital system: clinical aspect. International Journal of Basic Science and Pharmacy 2012;2:39–41.
• 17. Bauer SB. Anomalies of the kidney and ureteropelvic junction. In: Walsh PC, Retik AB, editors. Campbell’s urology. 7th ed. Philadelphia: Saunders; 1998. p. 1728–30.
• 18. Braasch WF. Anomalous renal rotation and associated anomalies. J Urol 1931;25:9–21.
• 19. Ramteerthankar RN, Joshi DS, Joshi RA, Pote AJ. Bilateral unrotation of kidneys. Saudi J Kidney Dis Transpl 2011;22:1033–4.
• 20. Atasever A, Hamdi Celik H, Durgun B, Yilmaz E. Unrotated left kidney with an accessory renal artery. J Anat 1992;181:507–8.
• 21. McGregor AL, Decker GAG, Du Plessis DJ. Lee McGregor's synopsis of surgical anatomy. 12th ed. Bristol: John Wright; 1986. p. 298–9.
• 22. Dees JE. Clinical importance of congenital anomalies of the upper urinary tract. J Urol 1941;46:659–66.
• 23. Mohanty C, Ray B, Samaratunga U, Singh G. Horseshoe kidney with extrarenal calyces – a case report. Journal of the Anatomical Society of India 2002;51:57–8.
• 24. Vaniya VH. Horseshoe kidney with multiple renal arteries and extrarenal calyces: a case report. Journal of the Anatomical Society of India 2004;53:52–4.
• 25. Bengtsson C, Hood B. The unilateral small kidney with special reference to the hypoplastic kidney. Review of the literature and authors’ points of view. Int Urol Nephrol 1971;3:337–51.
• 26. Xiao GQ, Jerome JG, Wu G. Unilateral hypoplastic kidney and ureter associated with diverse mesonephric remnant hyperplasia. Am J Clin Exp Urol 2015;3:107–11.