Circumaortic left renal vein with a duplicated retroaortic vein

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Abdominal pain, vomiting. No fever.

Patient Data

Age: 20 years
Gender: Female

Mildly enlarged liver.
Prominent mesenteric lymph nodes of up to borderline diameter.

Right hepatic artery replaced to the SMA.

Circumaortic left renal vein, with a duplicated retroaortic left renal vein that fuses at the left renal hilum.

Case Discussion

A duplicated retroaortic left renal vein is very rare.
An even rarer variant is when it forms the posterior part of a circumaortic left renal vein.

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