Case report: Lower limb arterial blood supply arising from the renal artery with congenital absence of the ipsilateral iliac arteries

Oduro, G.D.; Cope, Lance; Rogers, Ian Munro

doi:10.1016/s0009-9260(05)80649-x

Cited by 12 publications

(9 citation statements)

References 3 publications

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“…One study reported the case of the unilateral lack of iliac arteries, with a network of collateral arteries supplying the normal vascular territory [ 21 ]. Similar cases include absence of CIA and IIA with an aberrant EIA arising from the renal artery, absence of right CIA with aberrant left IIA, and absence of bilateral CIA and left IIA with prominent collateral vasculature [ 12 , 22 , 23 ]. A very similar iliac artery branching pattern to this case has been described but included absent bilateral, rather than unilateral, CIAs [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…This case is of interest for its rarity and clinical implications. The importance of understanding vascular anatomical variations is highlighted in a case of development of the left lower limb ischemia following a routine nephrectomy due to an aberrant EIA originating from the left renal artery [ 12 ]. This case emphasizes the importance of how knowledge of anatomical variations can help clinicians exercise caution in a clinical setting.…”

Section: Introductionmentioning

confidence: 99%

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A Case of Left Retroexternal Iliac Artery Megaureter Associated with Additional Renal and Vascular Congenital Anomalies

Karadaghy

Bell

Daly

et al. 2020

Case Reports in Urology

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Introduction. A number of rare anatomical anomalies, including retroexternal iliac ureter, extrarenal calyces (ERCs), and vascular anomalies, were observed in a 96-year-old female cadaver during a routine dissection. Description. A markedly dilated left extrarenal pelvis (ERP) with a diameter of 3.15 cm was noticed. Three major calyces were found outside of the normal-sized left kidney. The abdominal aorta (AA), instead of normal bifurcation, branched to the right common, left external, and left internal iliac arteries. The median sacral artery was a direct branch from the right common iliac artery. No hydronephrosis was observed on the affected side, and no urinary tract anomalies were observed on the right side. Significance. The retroiliac megaureter is a rare congenital anomaly, with fewer than 25 cases reported to date. Additionally, the ERCs are amongst the rarest anomalies of the renal collecting system. Further, the current case is one of few reported cases where the particular branching pattern of the AA was observed. The combination of such anatomical anomalies is rare, and the relationship between them is unclear. Common clinical manifestations of retroiliac ureters are the results of ureteric obstruction, hydronephrosis, and secondary infection. Precise knowledge of anomalies of the kidney and urinary tract can help radiologists and surgeons make a definitive diagnosis and prevent inadvertent injury during surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case of Left Retroexternal Iliac Artery Megaureter Associated with Additional Renal and Vascular Congenital Anomalies

Karadaghy

Bell

Daly

et al. 2020

Case Reports in Urology

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“…Hypoplasia/atresia of the external iliac artery was the most commonly observed anomaly, present in 5 out of the 6 cases of this series [5] . Other reports in the literature include, bilateral aplasia of internal iliac or external iliac arteries [6,1] , agenesis of external iliac artery [4] , congenital absence of a common iliac artery [2,7] , absence of unilateral common and external iliac arteries [8] , abnormal external iliac artery arising from the ipsilateral renal artery [9] , and quadrifurcation of the terminal aorta where all four iliac arteries arose separately from the aorta [5] . A report by Tamisier et al classified congenital malformation of the external iliac artery into three groups: (1) anomalies in origin or course of the artery, (2) hypoplasia or atresia with a persistent sciatic artery and (3) isolated hypoplasia or atresia [3] .…”

Section: Discussionmentioning

confidence: 99%

Kidney transplantation in a patient with absent right common iliac artery and congenital renal abnormalities

Tay

Siew

et al. 2015

International Journal of Surgery Case Reports

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HighlightsCongenital atresia of the common and external iliac arteries is a rare vascular anomaly that may pose potential problems during renal transplantation.It may be useful to perform routine angiographic evaluation for ESRD patients with congenital genitourinary abnormalities being planned for kidney transplantation.As some cases of congenital iliac artery anomalies remain asymptomatic, there is some evidence in literature suggesting the usefulness of routine pre-operative CT in a selective group of patients.Kidney transplantation in patients with absent right common and external iliac arteries is safe with the appropriate pre-operative imaging and surgical technique.

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“…Oduro exemplified the clinical importance of early recognition of several of these malformations in a patient whose blood supply to the left lower extremity arose from an anomalous external iliac artery that branched from the left renal artery. Unfortunately, in that case, the anomaly was not identified until the patient presented with left lower limb claudication following an elective left nephrectomy during which time the anomalous vessel was inadvertently tied off [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Congenital Absence of the Right Common Iliac Artery

Dabydeen¹,

Shabashov²,

Shaffer³

2008

Radiology Case Reports

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Cases of vascular anomalies of the iliac and femoral vessels are rare. We report a complete absence of the right common iliac artery in a 21-year-old woman, incidentally discovered by CT during the work-up for acute abdominal pain. A network of prominent collateral arteries reconstituted the distal portion of the right external iliac artery and the common femoral artery, forming the arterial supply of the right lower limb. Multiple collaterals were also observed reconstituting the right internal iliac artery. At the time of presentation, the patient had no signs or symptoms to suggest lower extremity ischemia, however this may become a problem in the future. Recognition of vascular abnormalities can dictate extra caution when planning abdominal surgery.

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Case report: Lower limb arterial blood supply arising from the renal artery with congenital absence of the ipsilateral iliac arteries

Cited by 12 publications

References 3 publications

A Case of Left Retroexternal Iliac Artery Megaureter Associated with Additional Renal and Vascular Congenital Anomalies

A Case of Left Retroexternal Iliac Artery Megaureter Associated with Additional Renal and Vascular Congenital Anomalies

Kidney transplantation in a patient with absent right common iliac artery and congenital renal abnormalities

Congenital Absence of the Right Common Iliac Artery

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