一例左侧睾丸动脉高位起源,穿过左肾静脉瓣膜。

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
Ebru Yılmaz, Cem Tatar, Aleyna Keskin, Büşra Yalçın, Ilke Ali Gurses
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引用次数: 0

摘要

背景:静脉系统,尤其是肾静脉发生瘘管极为罕见。本文旨在介绍一例高起源睾丸动脉穿过左肾静脉瘘的病例。材料与方法 该变异是在为医科二年级学生进行常规腹膜后解剖时,在一具 74 岁的高加索男性尸体上偶然观察到的:结果:在左肾静脉中段观察到一个瘘管。裂口的长度和高度分别为 23 毫米和 3.6 毫米。左侧睾丸动脉穿过瘘口,在瘘口远端走向正常。在左肾静脉后方,睾丸动脉起源于腹主动脉外侧,正好位于左肾动脉尾部。在右侧,睾丸动脉也有类似的高起源,并且有两条肾动脉。右侧未观察到静脉变异:结论:左肾静脉的长路径是选择供肾的一个优先因素。结论:左肾静脉的长路径是供肾选择的首选因素,左肾静脉的不常见变异(如瘘管)可能会导致手术技巧的改变,并使左侧供肾面临吻合时间延长和存活率降低的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of left testicular artery with high origin passing through a left renal vein fenestration.

Background: Fenestrations of are extremely rare in the venous system, especially renal veins. This paper aims to present a case of left renal vein fenestration where a high origin testicular artery passes through it. Materials and Methods The variation was observed incidentally in a 74-year-old Caucasian male cadaver during routine retroperitoneal dissections for second year medical students.

Results: A fenestration in the mid portion of the left renal vein was observed. The length and height of the fenestration was 23 and 3.6 millimeters, respectively. The left testicular artery passed through the fenestration and followed a normal course distal to the fenestration. Posterior to the left renal vein, the testicular artery originated from the lateral aspect of abdominal aorta, just caudal to the left renal artery. On the right side, the testicular artery had a similar high origin, and two renal arteries were present. No venous variations were observed on the right side.

Conclusions: The long course of the left renal vein is a factor of preference for donor kidney selection. Uncommon variations of the left renal veins, such as fenestrations, might result in a change in surgical technique and would put the left donor kidney at risk of prolonged anastomosis time and lower survival rates.

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来源期刊
Folia morphologica
Folia morphologica ANATOMY & MORPHOLOGY-
CiteScore
2.40
自引率
0.00%
发文量
218
审稿时长
6-12 weeks
期刊介绍: "Folia Morphologica" is an official journal of the Polish Anatomical Society (a Constituent Member of European Federation for Experimental Morphology - EFEM). It contains original articles and reviews on morphology in the broadest sense (descriptive, experimental, and methodological). Papers dealing with practical application of morphological research to clinical problems may also be considered. Full-length papers as well as short research notes can be submitted. Descriptive papers dealing with non-mammals, cannot be accepted for publication with some exception.
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