Context: Variations in renal vascular morphology are relatively common and involve both the renal arteries and the renal veins. Presence of supernumerary vessels is the variation most frequently encountered. Knowledge of such findings is valuable for urologists with regard to kidney transplantation, nephrectomy, vascular anastomosis, selective catheterization and many other surgical procedures on the kidneys. Objective: To report on a case of duplication of the right renal vein and its clinical and surgical implications. Case report: In one dissected specimen from a male cadaver, the presence of two right renal veins parallel to each other was observed in a position anteroinferior to the right renal artery. One vein emerged from the upper portion of the renal hilum, while the other emerged from the lower portion of the hilum. The two veins drained separately into the inferior vena cava, and neither of them received any tributaries. Conclusion: Knowledge of these vascular variations is important for urologists, vascular surgeons and radiologists, given that performing angiography prior to surgical interventions in the retroperitoneal space avoids complications, especially with regard to kidney transplantation.
Frontal sinus keratoma or cholesteatoma is a rare disease of paranasal sinuses and presents as a slow-growing mass that becomes symptomatic as it grows to the surrounding structures. Intracranial complications are not a common presentation and are potentially life-threatening. Frequently the final diagnosis is only made intraoperatively because several other frontal sinus tumors behave likewise. Definitive treatment requires complete removal of the keratoma, and a combined endoscopic and external frontal sinus approach is a good treatment option. In this report, we presented a 68-year-old female with frontal sinus cholesteatoma with diagnostic and therapeutic features of this pathology with the review of the literature.
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