TY - JOUR AU - Sakaew, Waraporn AU - Maneenin, Chanwit AU - Ratanasuwan, Somsiri AU - Amarttayakong, Pattama AU - Boonruangsri, Porntip AU - Kanpittaya, Jaturat AU - Hipkaeo, Wiphawi PY - 2017/02/28 Y2 - 2024/03/29 TI - Combination of Bilateral Multiple Anomalies of Renal Blood Vessels Together with Testicular Blood Vessels and Renal Pelvises - A Case Report JF - Srinagarind Medical Journal JA - SRIMEDJ VL - 32 IS - 1 SE - Original Articles DO - UR - https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/78534 SP - 80-85 AB - <p style="margin: 0cm 0cm 0pt; line-height: normal;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">Background andObjective</span></span></strong><strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">:</span></strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">  </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">A number of </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">the </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">renal surgical interventions have recently been increased</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;"> in the clinical fields</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">. A better understanding of the anatomy of renal blood vessels including arteries, veins and their branches is critical to perform the renal surgical intervention. </span></span></p><p style="margin: 0cm 0cm 0pt; line-height: normal;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">Method </span></span></strong><strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">:</span></strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;"> This is a case report study. A</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> 79-year-old male </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">Thai </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">cadaver, who donated his body to Department of Anatomy, Faculty of Medicine, Khon Kaen University was studied.</span></span></p><p style="margin: 0cm 0cm 0pt; line-height: normal;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;">Results</span></span></strong><strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;"> :</span></strong><span style="font-family: 'Tahoma','sans-serif'; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-size: 11.0pt;"> </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">In the present report</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">, the multi</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">combined anomalies</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> of </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">bilateral </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">renal blood vessels i</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">n</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> a</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">ccompany</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> with </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">anomalies of </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">gonadal blood vessels and ureters</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;"> as well as pelvises </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">cadaver were found. The inferior accessory renal arter</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">y</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> and vein were identified in both sides. The right testicular artery passed </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">posterior to</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> the inferior vena cava. Double left testicular veins w</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">ere</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> observed. The left renal artery passed over the superior</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;"> edge </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">of the left renal vein and located anteriorly to this vein. In addition to the vascular variations, bilaterally bifurcated renal pelvi</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">s</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">es were also identified. </span></span></p><p style="margin: 0cm 0cm 0pt; line-height: normal;"><span style="font-size: medium;"><strong><span style="text-decoration: underline;"><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">Conclusion :</span></span></strong><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> The present finding is relevance information for reducing the chance of </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">potential </span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;">vascular injur</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt; mso-fareast-language: JA;">ies</span><span style="font-family: 'Tahoma','sans-serif'; mso-bidi-font-size: 11.0pt;"> during the renal surgery.</span></span></p> ER -