Abstract
Anomalous blood vesseles are always interesting from a purely scientific point of view, especially since they so often shed light on obscure problems of phylogeny and ontogeny. The evolutionary history of kidney and renal artery is recapitulated during embryonic development. Most of the variations of human renal vesseles can be explained on the basis of phylogeny as many conditions which are anomalous in human are normally present in some animals. The most common variation or renal artery is the presence of an accessory renal arteries, occuring in approximately 30% of cases. The precise knowledge of renal vascular pattern is significant in conduct of various renal surgeries, interventional radiology, and urologic procedures. Variations in renal vascularization have assumed greater importance in conservative surgeries; hence the presence of accessory arteries cannot be overlooked during surgical resection, partial nephrectomy and renal transplant. The present case report aims at highlighting the possible variation in renal vasculature and its embryological and clinical significance.
Key words: Accessory renal artery, Aorta, Kidney, Renal artery, Renal transplant
References
1. Standard S. ed Grays Anatomy. The Anatomical basis of clinical practise. 40th Ed.,edinburg, churchill, and Livingstone, 2008: 1231-1233.
2. Hussein M, Haque M, Usman N, Hassan K, husssein N. Bilateral variations of renal artery and its clinical significance in North Indian population. IJMS: May 2013: 121-123.
3. Ramesh Rao T, Rachana. Aberrent renal arteries and its clinical significance: A case report. International journal of Anatomical Variations. 2011: 04: 37-39.
4. Satyapal K, Hallejee A, Singh B, Ramsaroop L, Kalideen J. Additional renal arteries: Incidence and morphometry. Surgical and Radiologic Anatomy 2001: 23(1): 33-38.
5. Nathan H, Glezer I. Right and left renal arteries arising from common trunk associated with unrotated kidneys. Journal of urology 1984: 132(1): 7-9.
6. Ozkan U, Oguzkurt L, tercan f, Kzlklc O, Kol Z, Koca N. Renal artery origins and variations: angiographic evaluation of 855 consecutive patients. Diagnostic and interventional Radiology 2006: 12(4): 183-186.
7. Gupta A, Gupta R, Singhla R. The accessory renal arteries: A comparative study in vertebrates with its clinical implication. Journal of clinical and diagnostic research 2011: 5(5): 970-973.
8. Sing G, Bay BH. Bilateral renal arteries associated with some anomalies of the ovarian arteries; A case study. Clin. Anat. 1998: 11: 417-20.
9. Gesase AP. Rare origin of supernumerary renal vesseles supplying the lower pole of the kidney. Ann. Anat 2007: 189(1):53-58.
10. Dhar P, Lal K. main and accssory renal arteries- A morphological study. Ital J anat Embryol 2005: 110:101-10.
11. Khamanarong k, Prachaney p, Utraravichien A, Tong Un T, Sripaoraya K. Anatomy of renal arterial supply. Clin Anat 2004: 17: 334-6.
12. Rao M, Bhat SM, Venkataramana V, Deepthinath R, Bolla SR. Bilateral prehilar multiple branching of renal arteries: A case report and literature review. Kathmandu Univ Med J 2006: 4: 345-8.
13. Bordei P, Sapte E, Iliescu D. Double renal arteries originating from the aorta. Surg Radiol Anat 2004: 26: 474-9.
Corresponding Author
Dr Bagal Gopal
Associate Professor, A.C.P.M. Medical College
Dhule, Maharashtra, India.424001
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob.No. 08888764156