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European Surgery
Erschienen in:

01.04.2014 | Case Report

Detection of rare variant of “circumaortic venous collar” during infrarenal abdominal aortic aneurysm repair: case report and literature review

verfasst von: Francesco De Santis, MD, PhD, Gabriele Mani, MD, Guido Martini, MD, Mathias Colangelo, MD, Norma Decaminada, MD

Erschienen in: European Surgery | Ausgabe 2/2014

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Summary

Background

Congenital retroperitoneal veins anomalies (RVAs) are very infrequent, but have a relevant clinical importance in abdominal aortic surgery.

Methods

We hereby present a unique case of a man with infrarenal abdominal aortic aneurysm associated with a rare anatomical variation of the left renal vein (LRV) consisting of a small ventral suprarenal and a large retroaortic vein, both draining directly into the inferior vena cava. Starting from this case we carried out an extensive literature review on clinical and surgical implications of RVAs.

Results

The retroaortic renal vein was detected preoperatively by computed tomography angiography (CTA), but the suprarenal vein was unexpected. Both infrarenal aortic clamping and aneurysm resection resulted demanding and required careful exposure of the anomalous suprarenal vein and identification of both renal arteries origin. No intraoperative bleeding or other complications occurred.

Conclusions

The awareness and recognition of RVAs is mandatory to avoid injuries during abdominal aortic surgery.
Vorheriger Artikel The development of sphincter saving surgery for rectal cancer: the long way from a perineal colostomy to restoration of continence
Nächster Artikel Esophageal schwannoma: report of a case and review of the literature
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Metadaten
Titel
Detection of rare variant of “circumaortic venous collar” during infrarenal abdominal aortic aneurysm repair: case report and literature review
verfasst von
Francesco De Santis, MD, PhD
Gabriele Mani, MD
Guido Martini, MD
Mathias Colangelo, MD
Norma Decaminada, MD
Publikationsdatum
01.04.2014
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 2/2014
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-013-0241-9

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