Abstract
Background
Variant renal arteries have been reported in 20~30% of the entire population. The anatomic variations among advanced patients should be investigated when performing surgery or interventional procedures on the kidney.
Most variant renal arteries originated from various level of the abdominal aorta. Very rarely, this case shows renal artery originated from the contralateral common iliac artery with other accessory arteries.
Case presentation
MDCT angiography revealed several anatomical variants of the right kidney. There were four right renal arteries. The main renal artery originated from the left proximal common iliac artery and other renal artery originated from the aortic bifurcation. The other two renal arteries arose from the abdominal aorta, lower thoracic T12 level and lower lumbar L4 level. The right kidney was located at the level of the third to fifth lumbar vertebra. And renal pelvis of the right kidney was laterally rotated.
Conclusion
This case documented a rare anatomic variant, involving multiple accessory renal arteries, including the main artery originating from the contralateral iliac artery, caused by a specific renal embryological condition. These variants should be analysed to effectively perform surgical and interventional procedures.
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JKK: data collection, data analysis, manuscript writing, J-ML: data analysis, manuscript writing and editing, illustration, JUH: manuscript editing, SGC: manuscript editing.
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This manuscript has not been published or presented elsewhere in part or in entirety and is not under consideration by another journal. The study design was approved by the appropriate local ethics review board of University Inha. We have read and understood your journal’s policies, and we believe that neither the manuscript nor the study violates any of these.
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Kim, J., Lee, Jm., Cho, S.G. et al. Ectopic vascularization of the right kidney arising from contralateral common iliac artery. Surg Radiol Anat 44, 979–981 (2022). https://doi.org/10.1007/s00276-022-02970-3
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DOI: https://doi.org/10.1007/s00276-022-02970-3