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伴有双侧输尿管扭曲的泌尿生殖系统血管异常:一例报告

Urogenital Vascular Anomalies with Bilateral Kinking of Ureter: A Case Report.

作者信息

Tadipi Suresh, Sadashiv Roshni, Muralidharan Sangeeta, Pimid Maegyvear

机构信息

Department of Anatomy, Sri Devaraj Urs Medical College, Banglore Tirupathi Highway, Tamaka, Kolar, Karnataka 563101, India.

出版信息

Malays J Med Sci. 2015 Nov;22(6):67-70.

Abstract

Variations in the urogenital vascular anomalies in the abdomen are very common. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. During routine dissection of abdomen in a male cadaver, unique urogenital vascular anomalies were observed. On the right side, the right renal artery was found to be originated from the abdominal aorta at the level of L2 and divided into five branches; the right testicular artery and inferior suprarenal artery originated from the lower branch. We also observed, accessory renal artery arising from abdominal aorta at the level of L3 and double renal veins on right side. On the left side, we found left renal artery originating from the abdominal aorta at the level of L2 and divided into two branches. Double testicular (medial and lateral) arteries were also observed. In addition to these vascular variations, bilateral kinking of ureter at the pelviureteric junction was also observed. Although the variations in the origin of urogenital vessels in the abdomen are common, deeper understanding of the urogenital vascular variations and their relations to adjacent structures is significant during surgical and radiological procedures.

摘要

腹部泌尿生殖系统血管异常变异非常常见。然而,由于它们在手术、诊断和血管内操作中的重要性,值得引起关注。在一具男性尸体的腹部常规解剖过程中,观察到了独特的泌尿生殖系统血管异常。右侧,右肾动脉在L2水平发自腹主动脉,并分为五个分支;右睾丸动脉和肾上腺下动脉发自下部分支。我们还观察到,在L3水平有发自腹主动脉的副肾动脉以及右侧的双肾静脉。左侧,左肾动脉在L2水平发自腹主动脉并分为两个分支。还观察到双睾丸(内侧和外侧)动脉。除了这些血管变异外,还观察到双侧输尿管在肾盂输尿管交界处扭结。虽然腹部泌尿生殖系统血管起源的变异很常见,但在手术和放射学操作过程中,更深入地了解泌尿生殖系统血管变异及其与相邻结构的关系具有重要意义。

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