TRIPLE RENAL ARTERIES OF THE LEFT KIDNEY WITH ABERRANT LEFT GONADAL ARTERY

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D. S. T. D. C. S. K. S. Shaik Zakir Hussain, Samia Azaz, “TRIPLE RENAL ARTERIES OF THE LEFT KIDNEY WITH ABERRANT LEFT GONADAL ARTERY”, ijmhs, vol. 3, no. 4, Oct. 2013.
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Abstract

The purpose of this case report is to bring into light about three renal arteries supplying the left kidney which is a rarity. The cranial and caudal accessory renal arteries were of aortic in origin and had significance lumen size. The cranial artery terminated into two segmental arteries. The caudal renal artery gave rise to the left gonadal artery and the point of emergence of it showed a deep kink.
Materials And Methods: A formalin – fixed elderly male cadaver along with Routine instruments including Scalpel, Blade, Surgical forceps, Anatomical Forceps, Dissector, Metallic Scale with Calibrations along with a pair of gloves were used. The anterior abdominal wall was dissected layer by layer. The reflection of the peritoneum was traced both horizontally and vertically The visceral organs like liver, stomach & intestines were all studied in Situ and dissected out. The duodenum, pancreas and spleen were all dissected away from the abdominal cavity and the peritoneum was stripped to visualize the kidneys.
Result: Dissection of an elderly male cadaver revealed a left kidney supplied by triple renal arteries i.e., double accessory renal arteries along with its main renal artery. The first accessory renal artery arose from the lateral aspect of the abdominal aorta by the side of superior mesenteric artery. It had tortuous horizontal course and terminated into two segmental branches. The proximal branch had its portal of entry just above the hilum and the second branch entered the kidney at the upper part of the hilum. The second accessory renal artery arose from the anterior aspect of the aorta much below the main renal artery. It had a horizontal course towards the hilum of the kidney but showed a kink due to the emergence of the left gonadal artery. There was an alteration in the hilar anatomy due to the these three arteries..
Conclusion: Knowledge of the renal vascular variations is indispensable in the exploration and treatment of renal trauma, reno vascular hyper tension, renal embolization, angioplasty or vascular reconstruction for congenital and acquired lesions, surgery for abdominal aortic aneurysm and conservative or radical renal surgery. Anatomical knowledge of such vascular variations is essential for the radiologists, urologists while performing angiograms and renal transplantations

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