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Images in clinical urology. Why we did not use left side for this donor

Hayri Ogul1, Mahmut Bozkurt, Mecit Kantarci

  • 1Department of Radiology, Atatürk University Medical Faculty, Erzurum, Turkey.

Urology
|April 14, 2009
PubMed

Insights

A rare double retroaortic left renal vein variation was found in a potential kidney donor. This anatomical anomaly increases risks for donors, making the right kidney the preferred choice for transplantation.

Area of Science:

  • Radiology
  • Anatomy
  • Nephrology

Background:

  • Routine donor evaluation is crucial for identifying anatomical variations that may impact patient safety.
  • End-stage renal failure necessitates timely kidney transplantation, highlighting the importance of donor screening.

Observation:

  • A 53-year-old potential kidney donor presented with an unusual anatomical variation during routine multidetector computed tomography angiography.
  • The examination revealed a double retroaortic left renal vein, a rare congenital anomaly.

Findings:

  • The identified double retroaortic left renal vein is a significant finding in potential kidney donors.
  • This anatomical variation can elevate the risk of serious morbidity and mortality for the donor.

Implications:

  • The discovery of this anomaly influences donor selection, favoring the right kidney for donation due to reduced risks.
  • Multidetector computed tomography angiography is confirmed as the optimal imaging modality for comprehensive renal donor evaluation.

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