Renal vein anomalies
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Ranchod A, Ashraf A, et al. Renal vein anomalies. Reference article, Radiopaedia.org (Accessed on 17 Jan 2025) https://doi.org/10.53347/rID-17492
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rID:
17492
Article created:
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Ashesh Ishwarlal Ranchod had no financial relationships to ineligible companies to disclose.
View Ashesh Ishwarlal Ranchod's current disclosures
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16 times, by
10 contributors -
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Systems:
Sections:
Synonyms:
- Renal vein anatomical variations
- Variations in renal venous drainage
There are several variations in renal venous anatomy. Some of these are specific to the left renal vein.
Left renal vein anomalies are generally classified into four types 2:
-
type I
- the ventral preaortic limb of the left renal vein is obliterated, but the dorsal retroaortic limb persists and joins the IVC in the normal position
-
type II
- results from the obliteration of the ventral preaortic limb of the left renal vein and the remaining dorsal limb turns into a retroaortic left renal vein (RLRV)
- left renal vein lies at the level of L4 to L5 and joins the gonadal and ascending lumbar veins before joining the IVC
-
type III
- is the circumaortic left renal vein or venous collar - due to the persistence of subsupracardial and intersupracardial anastomoses and the dorsal limb of the left renal vein.
- if all small retroaortic veins that empty into the IVC are considered, the incidence of a circumaortic left renal vein could be as high as 16%
-
type IV
- the ventral preaortic limb of the left renal vein is obliterated, and the remaining dorsal limb becomes the RLRV which courses obliquely and inferiorly to join left common iliac vein.
-
other (non-classified): can involve either kidney
- supernumerary renal veins
- late venous confluence 3
See also
References
- 1. Bass JE, Redwine MD, Kramer LA et-al. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 20 (3): 639-52. Radiographics (full text) - Pubmed citation
- 2. Nam JK, Park SW, Lee SD et-al. The clinical significance of a retroaortic left renal vein. Korean J Urol. 2010;51 (4): 276-80. doi:10.4111/kju.2010.51.4.276 - Free text at pubmed - Pubmed citation
- 3. Sebasti C, Sebasti PL, Sebasti SR, Sebasti BeL, Sebasti RI, Sebasti AA, Sebasti NC, Sebasti. Multidetector CT of living renal donors: lessons learned from surgeons. (2010) Radiographics : a review publication of the Radiological Society of North America, Inc. doi:10.1148/rg.307105032 - Pubmed
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Cases:
- Renal artery aneurysm causing focal hydronephrosis
- Left-sided IVC with azygos continuation and retroaortic right renal vein
- Retroaortic left renal vein - type II
- Retroaortic left renal vein - type I
- Type IV left renal vein
- Gallbladder dysfunction
- Pelviureteric junction obstruction by accessory renal vein
- Circumaortic left renal vein
- Thrombosis in a circumaortic left renal vein
- Retroaortic left renal vein
- Circumaortic left renal vein and doubled left renal arteries
- Retroaortic left renal vein
- Double retro-aortic left renal vein
- Nutcracker phenomenon
- Nutcracker phenomenon
- Left testicular varicocele - nutcracker phenomenon
- Circumaortic left renal vein
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