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异常肾上腺静脉解剖结构使原发性醛固酮增多症的评估变得复杂。

Anomalous adrenal vein anatomy complicating the evaluation of primary hyperaldosteronism.

作者信息

Ford Kaitlin M, Smolinski Sara, Perez Lozada Juan Carlos

机构信息

Frank H. Netter SOM, Quinnipiac University, 370 Bassett Rd, North Haven, CT 06473 USA.

Department of Interventional Radiology, Yale New Haven Hospital, New Haven, CT, USA.

出版信息

Radiol Case Rep. 2017 Oct 20;13(1):139-141. doi: 10.1016/j.radcr.2017.09.010. eCollection 2018 Feb.

DOI:10.1016/j.radcr.2017.09.010
PMID:29487649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5826692/
Abstract

Adrenal vein development in utero occurs concurrently with the development of the inferior vena cava, the renal veins, and the gonadal veins. The embryologic formation of these veins involves communication of various venous systems. Although the left adrenal-renal vein complex is most commonly described as a shared emptying of the left adrenal vein and the left inferior phrenic vein into the left renal vein, there have been reports of numerous anatomic variations of this complex. In this report, we present a case of a rare variant of the left adrenal vein, in which the left adrenal vein empties into the left gonadal vein, which takes an atypical course superolateral to the left kidney.

摘要

子宫内肾上腺静脉的发育与下腔静脉、肾静脉和性腺静脉的发育同时发生。这些静脉的胚胎形成涉及各种静脉系统的连通。虽然左肾上腺 - 肾静脉复合体最常被描述为左肾上腺静脉和左下膈静脉共同汇入左肾静脉,但已有关于该复合体众多解剖变异的报道。在本报告中,我们呈现了一例罕见的左肾上腺静脉变异病例,其中左肾上腺静脉汇入左性腺静脉,且该左性腺静脉走行于左肾上方外侧的非典型路径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/290bce571b22/radcr338-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/733ec252ffb8/radcr338-fig-5001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/6321463ccdf6/radcr338-fig-5002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/569df0fc5980/radcr338-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/290bce571b22/radcr338-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/733ec252ffb8/radcr338-fig-5001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/6321463ccdf6/radcr338-fig-5002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/569df0fc5980/radcr338-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/441d/5826692/290bce571b22/radcr338-fig-0002.jpg

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本文引用的文献

1
Variations of gonadal veins: embryological prospective and clinical significance.性腺静脉的变异:胚胎学展望与临床意义
J Clin Diagn Res. 2015 Feb;9(2):AC08-10. doi: 10.7860/JCDR/2015/9493.5578. Epub 2015 Feb 1.
2
A review of the anatomy and clinical significance of adrenal veins.肾上腺静脉的解剖结构及临床意义综述。
Clin Anat. 2014 Nov;27(8):1253-63. doi: 10.1002/ca.22374. Epub 2014 Apr 15.
3
Variant adrenal venous anatomy in 546 laparoscopic adrenalectomies.546 例腹腔镜肾上腺切除术的变异肾上腺静脉解剖结构。
腹腔镜肾上腺切除术治疗巨大肾上腺肿瘤:技术要点与手术结果
J Minim Access Surg. 2021 Jan-Mar;17(1):76-80. doi: 10.4103/jmas.JMAS_266_19.
JAMA Surg. 2013 Apr;148(4):378-83. doi: 10.1001/jamasurg.2013.610.