RARE VASCULAR ANOMALY «ARTERIAL FORCEPS» AS A CAUSE OF OBSTRUCTION URETEROPELVIC JUNCTIONOF THE RIGHT KIDNEY
https://doi.org/10.21886/2308-6424-2014-0-2-63-67
Abstract
The article describes a clinical case of right renal artery anomalies in the form of «arterial forceps». Patient S., 26 years have seen a university clinic for two years. Complained of heaviness in the right lumbar region, not associated with urination and stoped after taking antispasmodics (drotaverin). In urinalysis revealed no pathological changes, serum creatinine, glomerular filtration rate in the normal range. Palpation in the right flank found kidney, easily movable hand pressure, painless. Ultrasound during supine and standing were identified nephroptosis, yavivsheesya indication for endoscopic surgery nephropexy. However, after the operation the patient's condition has not improved. Pain intensified and gained position hue. The study was revealed complex malformation of the vascular bed of the right kidney . It has been found that the right renal artery divides into two long branches before entering the gates kidney then forward it again bifurcated branch of the upper and lower branches and the same before entering the gates, forming a compression pelvis and causing its dilation.
About the Authors
M. M. Batyushin
Rostov State Medical University, Rostov-on-Don
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
A. A. Kastanayan
Rostov State Medical University, Rostov-on-Don
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
I. S. Valueva
Rostov State Medical University, Rostov-on-Don
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
Russian Federation
Department of Internal Disease with Physiotherapy №2, Department of Nephrology
References
1. Renal anomalies in aortic surgery: contemporary results / G.L. Faggioli, A. Freyrie, A. Pilato A. et al. // Surgery. – 2003. – Vol.133. – P.641-646.
2. Association of abdominal aortic aneurysm, horseshoe kidneys, and leftsided inferior vena cava: Report of two cases / M.A. Radermecker, H. Van Damme, A. Kerzmann A. et al. // J. Vasc. Surg. – 2008. – Vol.47. – P.645-648.
3. Olin, J.W. Diagnosis, management, and future developments of fibromuscular dysplasia / J.W. Olin, B.A. Sealove // J. Vasc. Surg. – 2011. –Vol.53. – P.826-836.
4. Батюшин, М.М. Механизмы повреждения почечной паренхимы при рефлюкс-нефропатии. Обзор / М.М. Батюшин // Вестник урологии – 2013. – №2. – С.43-51. Url.: http://urovest.ru/ numbers/201302/
5. Renal artery fibromuscular dysplasia is a cause of refractory hypertension in the elderly / R. Aqel, W.W. Al Jaroudi, F.G. Hage, N.C. Nanda // Echocardiography – 2009. – Vol.26. – P.109-110.
6. Лучевые методы исследования в диагностике аномалий почек / Б.Н. Сапранов, А.В. Ремнякова, Ю.И. Пинчук, А.С. Мамонов // Радиология практика. – 2008. – №1. – С.8-18.
7. Воробьева, Л.Е. Методика проведения мультиспиральной компьютерной томографии и ее возможности в диагностике аномалий почек и мочеточников у детей диагностики в педиатрии / Л.Е. Воробьева, О.В. Кустова //Вопросы диагностики в педиатрии – 2009. – Т.1. – № 5. – С.20-25.
Review
For citations:
Batyushin M.M., Kastanayan A.A., Valueva I.S. RARE VASCULAR ANOMALY «ARTERIAL FORCEPS» AS A CAUSE OF OBSTRUCTION URETEROPELVIC JUNCTIONOF THE RIGHT KIDNEY. Urology Herald. 2014;(2):63-67. (In Russ.) https://doi.org/10.21886/2308-6424-2014-0-2-63-67
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