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Background: Renal hilum is the middle concavity of the medial border of kidney which communicates with renal sinus. The disposition of renal hilar structures has been described in anatomical textbook from anterior to posterior as the renal vein, renal artery and renal pelvis. Variations in arrangement of renal hilar structures were detected incidentally while performing investigative imaging and angiographic procedures. Anatomical knowledge of structures at the renal hilum is of great importance for various urological surgical procedures and also during interpretation of various radiological techniques related to the kidney.

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