title: An undetected common renal arterial trunk: surgical consequences and morbidity analysis.
abstract: We present a patient with a recurrent precaval left renal artery, stemming from a right-sided common trunk renal artery. The patient was a 44-year male who presented with a post-traumatic grade IV renal injury. After 3 months without renal function improvement and repeated urinary tract infection, a laparoscopic nephrectomy of the affected right kidney was performed, without upfront identification of the vascular variation, resulting in ischemia of the remaining left kidney. An anastomosis of the common renal trunk and the distal left renal artery was created in between the abdominal aorta and the inferior vena cava. This case describes the importance of upfront detection of renal vascular variations using the appropriate imaging techniques.
authors: Departments of Vascular Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands. w_buisman@hotmail.com.
authors: W J
authors: WJ
authors: Buisman
authors: Departments of Vascular Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands.
authors: Ç
authors: Ç
authors: Ünlü
authors: Departments of Radiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
authors: S W
authors: SW
authors: de Boer
authors: Departments of Internal Medicine, St. Antonius Hospital, Nieuwegein, The Netherlands.
authors: W J
authors: WJ
authors: Bos
authors: Department of Urology, Beatrix Hospital, Gorinchem, The Netherlands.
authors: J L
authors: JL
authors: Nieuwenhuijs
authors: Departments of Vascular Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands.
authors: J
authors: J
authors: Wille
mesh_terms: D058186:Acute Kidney Injury / Q000000981:diagnostic imaging; D000328:Adult; D063405:Anatomic Variation; D006801:Humans; D008297:Male; D012077:Renal Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging
keywords: Acute kidney injury; Anomalies; Ischemia; Kidney; Renal artery; Vascular variations