Laparoskopik adrenalektomi yapılan bir hastada sol retroaortik renal ven ve sağ sürrenal ven varyasyonunun rastlantısal birlikteliği
Öz
Bu olguda, laparoskopik sağ adrenalektomi sırasında karşılaşılan dikkate değer sağ adrenal ven varyasyonu ile birlikte renovasküler varyasyonu sunmayı amaçladık. Altmış sekiz yaşında bayan hasta, sağ adrenal kitle tanısı ile tedavi amaçlı kliniğimize yatırıldı. Batın tomografisinde sağ adrenal bezde 3x4.5x3.5 cm boyutlarında solid kitle ve retroaortik sol renal ven tespit edildi. Hastaya laparoskopik transabdominal sağ adrenalektomi planlandı. Laparoskopik eksplorasyon sırasında adrenal bezden vena cava inferiora venöz drenaj izlenmedi. Disseksiyon tamamlandığında sağ adrenal venin aksesuar sağ hepatik vene açıldığı görüldü. Adrenal ven varyasyonları ile ilişkili sol retroaortik renal ven varyasyonu literatürde birkaç yayında rapor edilmekle birlikte, aksesuar sağ hepatik vene açılan sağ adrenal ven varyasyonu ile sol retroaortik renal ven varyasyon kombinasyonu çok daha nadir görülen bir durumdur.
Anahtar Kelimeler
Adrenal ven varyasyonu retroaortik sol renal ven aksesuar sağ hepatik ven laparoskopik adrenal cerrahi
Kaynakça
- MacGillivray DC, Khwaja K, Shickman SJ. Confluence of
- the right adrenal vein with the accessory right hepatic veins.
- A potential hazard in laparoscopic right adrenalectomy.
- Surg Endosc 1996;10:1095-1096.
- Penbegül N, Kılınç F, Yıldırım K, et al. Laparoscopic adrenalectomy:
- Our clinical experiences with the first 10 patients.
- Dicle Medical Journal 2012;39:567-570
- Sèbe P, Peyromaure M, Raynaud A, Delmas V. Anatomical
- variations in the drainage of the principal adrenal veins: the
- results of 88 venograms. Surg Radiol Anat 2002;24:222-
- -
- Nam JK, Park SW, Lee SD, Chung MK. The clinical significance
- of a retroaortic left renal vein. Korean J Urol
- ;51:276-280.
- Yi SQ, Ueno Y, Naito M, et al. The three most common variations
- of the left renal vein: a review and meta-analysis. Surg
- Radiol Anat 2012;34:799-804.
- Scholten A, Cisco RM, Vriens MR, et al. Variant Adrenal
- Venous Anatomy in 546 Laparoscopic Adrenalectomies.
- JAMA Surg 2013;148:378-383.
- Nakamura S, Tsuzuki T. Surgical anatomy of the hepatic
- veins and the inferior vena cava. Surg Gynecol Obstet
- ;152:43-50.
- Matsuura T, Takase K, Ota H, et al. Radiologic anatomy of
- the right adrenal vein: preliminary experience with MDCT.
- AJR Am J Roentgenol 2008;191:402-408.
- Dilli A, Ayaz UY, Kaplanoglu H, et al. Evaluation of the left
- renal vein variations and inferior vena cava variations by
- means of helical computed tomography. Clinical Imaging
- ;37:530-535.
- Cesmebası A, Plessis MD, Iannatuono M, et al. A review of
- the anatomy and clinical significance of adrenal veins. Clin
- Anatomy 2014;27:1253-1263
- Satyapal KS, Kalideen JM, Haffejee AA, et al. Left renal
- vein variations. Surg Radiol Anat 1999;21:77-81.
Coincidence of right adrenal vein and retroaortic left renal vein variations in a patient undergoing laparoscopic adrenalectomy
Öz
In this case, we report an interesting right adrenal vein variation with renovascular variations discovered during the laparoscopic right adrenalectomy. A Sixth eightyear-old woman was referred for treatment of a right adrenal mass. Computed tomography sections revealed 3x4.5x3.5 cm well defined right adrenal mass and retroaortic left renal vein. Conventional laparoscopic transabdominal approach was scheduled. During the laparoscopic exploration It was noted that there was no vein drainage from adrenal gland to the inferior vena cava. As this dissection completed, right adrenal vein was exposed arisen from accessory right hepatic vein. In some reports ıt has been reported that adrenal vein variations can be associated with retroaortic left renal vein, but the right adrenal vein joined with an accessory right hepatic vein and retroaortic left renal vein combination is extremely uncommon condition.
Anahtar Kelimeler
Adrenal vein variation retroaortic left renal vein accessory right hepatic vein laparoscopic adrenal surgery
Kaynakça
- MacGillivray DC, Khwaja K, Shickman SJ. Confluence of
- the right adrenal vein with the accessory right hepatic veins.
- A potential hazard in laparoscopic right adrenalectomy.
- Surg Endosc 1996;10:1095-1096.
- Penbegül N, Kılınç F, Yıldırım K, et al. Laparoscopic adrenalectomy:
- Our clinical experiences with the first 10 patients.
- Dicle Medical Journal 2012;39:567-570
- Sèbe P, Peyromaure M, Raynaud A, Delmas V. Anatomical
- variations in the drainage of the principal adrenal veins: the
- results of 88 venograms. Surg Radiol Anat 2002;24:222-
- -
- Nam JK, Park SW, Lee SD, Chung MK. The clinical significance
- of a retroaortic left renal vein. Korean J Urol
- ;51:276-280.
- Yi SQ, Ueno Y, Naito M, et al. The three most common variations
- of the left renal vein: a review and meta-analysis. Surg
- Radiol Anat 2012;34:799-804.
- Scholten A, Cisco RM, Vriens MR, et al. Variant Adrenal
- Venous Anatomy in 546 Laparoscopic Adrenalectomies.
- JAMA Surg 2013;148:378-383.
- Nakamura S, Tsuzuki T. Surgical anatomy of the hepatic
- veins and the inferior vena cava. Surg Gynecol Obstet
- ;152:43-50.
- Matsuura T, Takase K, Ota H, et al. Radiologic anatomy of
- the right adrenal vein: preliminary experience with MDCT.
- AJR Am J Roentgenol 2008;191:402-408.
- Dilli A, Ayaz UY, Kaplanoglu H, et al. Evaluation of the left
- renal vein variations and inferior vena cava variations by
- means of helical computed tomography. Clinical Imaging
- ;37:530-535.
- Cesmebası A, Plessis MD, Iannatuono M, et al. A review of
- the anatomy and clinical significance of adrenal veins. Clin
- Anatomy 2014;27:1253-1263
- Satyapal KS, Kalideen JM, Haffejee AA, et al. Left renal
- vein variations. Surg Radiol Anat 1999;21:77-81.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Mayıs 2015 |
| Gönderilme Tarihi | 9 Mayıs 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 42 Sayı: 1 |