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Evaluating the origin of vascular structures in ectopic kidneys with multidetector computed tomography
1Department of Radiology, Aksaray University Training and Research Hospital, 68200, Aksaray, Turkey. dr.hasanerdogan@gmail.com.
Abdominal Radiology (New York)
|February 23, 2020
Summary
Ectopic kidneys often have varied arterial and venous supply origins. Understanding these vascular variations is crucial for preventing surgical complications like bleeding during procedures.
Area of Science:
- Radiology
- Anatomy
- Urology
Background:
- Ectopic kidney, a congenital anomaly, presents unique anatomical challenges.
- Vascular supply variations in ectopic kidneys are not fully understood.
- Accurate imaging is vital for surgical planning.
Purpose of the Study:
- To investigate the origin of vascular structures in ectopic kidneys using multidetector computed tomography (CT).
- To classify common vascular supply patterns in ectopic kidneys.
- To correlate vascular origins with ectopic kidney location.
Main Methods:
- Retrospective review of 106 ectopic kidneys from 96 patients' abdominal CT scans.
- Evaluation of ectopic kidney location, type of ectopia, and renal artery/vein origins.
- Classification of vascular origins into predefined categories.
Main Results:
- Renal artery origins varied, commonly from the aortic bifurcation (50 cases) and infrarenal aorta (36 cases).
- Renal vein origins were frequently from the infrarenal inferior vena cava (IVC) (44 cases) and IVC bifurcation (36 cases).
- A significant correlation (P < 0.001) was found between ectopic kidney level and vascular supply origin.
Conclusions:
- Ectopic kidneys exhibit diverse arterial and venous supply origins.
- Common vascular origins were identified and classified.
- Knowledge of these variations aids in preventing iatrogenic hemorrhage during surgery.
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