Lee C M, Ng S H, Ko S F, Tsai C H, Tsai C C
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1992 Mar;91(3):356-8.
Circumaortic left renal vein is an uncommon anomaly which has not been previously reported in Taiwan. We describe a case of circumaortic left renal vein in a 15-year-old girl who presented with intermittent hematuria. Angiogram revealed double left renal veins in the form of a venous collar. Computed tomography depicted the preaortic and retroaortic left renal veins clearly. In a survey of hematuria, circumaortic renal vein should be taken into consideration in a differential diagnosis, and an appreciation of the specific radiologic findings can help to establish the diagnosis easily. In addition, preoperative recognition of this uncommon anomaly is of supreme importance in a retroperitoneal operation in order to avoid massive bleeding.
环主动脉左肾静脉是一种罕见的异常情况,此前在台湾尚未有过报道。我们描述了一名15岁女孩患有环主动脉左肾静脉的病例,该女孩表现为间歇性血尿。血管造影显示左肾静脉呈静脉环形式的双支。计算机断层扫描清晰地描绘了主动脉前和主动脉后的左肾静脉。在血尿检查中,鉴别诊断时应考虑环主动脉肾静脉,了解其特定的放射学表现有助于轻松确诊。此外,在腹膜后手术中,术前识别这种罕见的异常情况对于避免大出血至关重要。