Surgically Relevant Normal and Variant Renal Parenchymal and Vascular Anatomy in Preoperative 16-MDCT Evaluation of Potential Laparoscopic Renal Donors
Steven S. Raman1,
Suwalee Pojchamarnwiputh1,2,
Kobkun Muangsomboon1,3,
Peter G. Schulam4,
H. Albin Gritsch4 and
David S. K. Lu1
1 Department of Radiology, David Geffen School of Medicine at the University of
California at Los Angeles, BL-428 CHS/Box 951721, Los Angeles, CA
90095-1721.
2 Present address: Department of Radiology, Chang Mai University, Chang Mai,
50200 Thailand.
3 Present address: Department of Radiology, Siriraj Hospital, Mahidol
University, Bangkok, 10700 Thailand.
4 Department of Urology, University of California at Los Angeles, Los Angeles,
CA.
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Fig. 1A —Oblique axial volume-rendered images show early branching of
renal arteries in kidney donor candidates. A = anterior, P = posterior.
56-year-old woman. Image shows early branch of right main renal artery
(arrow).
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Fig. 1B —Oblique axial volume-rendered images show early branching of
renal arteries in kidney donor candidates. A = anterior, P = posterior.
46-year-old man. Image shows early branch of left renal artery
(arrow).
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Fig. 2A —Oblique coronal volume-rendered images of renal vein and late
venous confluence in kidney donor candidates. 46-year-old woman. Image shows
late venous confluence of right renal vein (arrow).
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Fig. 2B —Oblique coronal volume-rendered images of renal vein and late
venous confluence in kidney donor candidates. 50-year-old woman. Image shows
late venous confluence of left renal vein (arrow).
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Fig. 3A —49-year-old woman with presumed medial fibromuscular
dysplasia. Coronal volume-rendered image (A) shows subtle irregularity
of left renal artery and more prominent mural irregularity at midportion of
right renal artery, which is also seen in vessel view image (B).
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Fig. 3B —49-year-old woman with presumed medial fibromuscular
dysplasia. Coronal volume-rendered image (A) shows subtle irregularity
of left renal artery and more prominent mural irregularity at midportion of
right renal artery, which is also seen in vessel view image (B).
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Fig. 5 —37-year-old man with duplicated inferior vena cava (IVC)
joining left renal vein (arrowhead). Coronal volume-rendered image
shows right IVC (black arrow) and left IVC (white arrow). S
= superior.
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Fig. 6A —Renal vein and draining gonadal vein or lumbar vein in kidney
donor candidates. 46-year-old woman. Coronal volume-rendered image shows left
gonadal vein (white arrow) connected with left main renal vein
(black arrow).
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Fig. 6B —Renal vein and draining gonadal vein or lumbar vein in kidney
donor candidates. 35-year-old woman. Coronal volume-rendered image shows left
gonadal vein (arrow) connected with inferior renal venous branch
(arrowhead).
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Fig. 6C —Renal vein and draining gonadal vein or lumbar vein in kidney
donor candidates. 36-year-old woman. Oblique coronal
maximum-intensity-projection image shows two right renal veins (black
arrows) and right gonadal vein (white arrow) draining into
inferior renal vein. S = superior.
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Fig. 6D —Renal vein and draining gonadal vein or lumbar vein in kidney
donor candidates. 50-year-old woman. Oblique volume-rendered axial image shows
large lumbar vein (arrow) connected with left main renal vein. A =
anterior.
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Fig. 6E —Renal vein and draining gonadal vein or lumbar vein in kidney
donor candidates. 31-year-old woman. Oblique volume-rendered axial image shows
large lumbar vein (white arrow) anastomosing with posterior renal
venous branch (black arrow). Common trunk joined main renal vein
within 1 cm of aorta (late confluence). P = posterior.
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Fig. 7A —Parenchymal and urothelial abnormalities in kidney donor
candidates. 54-year-old man with cortical scars. Coronal
maximum-intensity-projection image obtained during excretory phase of left
kidney shows cortical thinning (arrows), which indicates presence of
scars and hydrocalyces adjacent to scar.
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Fig. 7B —Parenchymal and urothelial abnormalities in kidney donor
candidates. 51-year-old woman with bilateral papillary necrosis. Coronal
volume-rendered image on excretory phase CT shows small contrast collections
in renal papillary pyramids (arrows).
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Copyright © 2007 by the American Roentgen Ray Society.
