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Published on: February 2, 2022
Left renal atrophy
Ramazan Davran1, Mehmet Rami Helvaci1, Mursel Davarci1
1Medical Faculty of The Mustafa Kemal University Antakya.
Insights
Left renal atrophy is significantly more common than right renal atrophy in humans. Potential causes include aortic pressure, left renal vein anomalies, and splenomegaly, which may induce blood flow disorders.
Area of Science:
- Nephrology
- Hematology
Background:
- Investigating the prevalence and risk factors of renal atrophy.
- Assessing potential disparities in left versus right renal atrophy.
Purpose of the Study:
- To determine if left renal atrophy occurs more frequently than right renal atrophy in the general population.
- To identify associated conditions and potential causes of renal atrophy.
Main Methods:
- Retrospective analysis of 2,417 patients presenting to a Hematology Service.
- Data collection on patient demographics, diagnoses, and presence of renal atrophy.
Main Results:
- Left renal atrophy was observed in 1.3% of cases (33/2,417), compared to 0.2% for right renal atrophy (5/2,417).
- Conditions associated with left renal atrophy included splenomegaly (51.5%), thalassemia minors (30.3%), and sickle cell diseases (27.2%).
- Right renal atrophy was associated with splenomegaly (20.0%), thalassemia minors (40.0%), and sickle cell diseases (20.0%).
Conclusions:
- Left renal atrophy is significantly more prevalent than right renal atrophy.
- Possible etiological factors include left renal vein flow disorders due to aortic pressure, structural anomalies, or splenomegaly-induced venous congestion.
- Splenomegaly-induced left renal vein flow disorders are hypothesized as a primary cause due to population prevalence and left varicocele.
Background:
We tried to understand whether or not there is a higher risk of left renal atrophy in human being.
Methods:
All patients applying to the Hematology Service with any underlying complaint were studied.
Results:
The study included 2,417 cases (1,248 females). The mean ages were 47.3 versus 50.7 years in females and males, respectively (p<0.000). There were 33 cases (1.3%) with the left renal atrophy against five cases (0.2%) with the right (p<0.001). The left renal atrophy cases have splenomegaly (SM) in 51.5%, thalassemia minors (TMs) in 30.3%, sickle cell diseases (SCDs) in 27.2%, myeloproliferative disorders in 18.1%, chronic lymphocytic leukemia in 6.0%, cirrhosis in 6.0%, solid organ malignancies in 6.0%, chronic obstructive pulmonary disease in 3.0%, multiple myeloma in 3.0%, and Waldenström's macroglobulinemia in 3.0%. Similarly, the right renal atrophy cases have SM in 20.0%, TMs in 40.0%, and SCDs in 20.0%.
Conclusion:
Left renal atrophy may be significantly higher than the right side in human being. Aortic pressure induced flow disorders in the left renal vein, structural anomalies of the left renal vein, and possibly the higher arterial pressure of the left kidney due to the shorter distance to the heart as an underlying cause of atherosclerosis may be some of the possible causes. Due to the stronger arterial wall protecting itself from compression and high prevalences of SM and left varicocele in population, SM induced flow disorders of the left renal vein may be the most common cause.
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