Hydronephrosis by an Aberrant Renal Artery: A Case Report.
- Author:
Byoung Seok PARK
1
;
Taek Kyun JEONG
;
Seong Kwon MA
;
Soo Wan KIM
;
Nam Ho KIM
;
Ki Chul CHOI
;
Yong Yeon JEONG
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. choikc@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Hydronephrosis;
Renal artery;
Magnetic resonance angiography
- MeSH:
Adult;
Female;
Flank Pain/diagnosis/etiology;
Follow-Up Studies;
Humans;
Hydronephrosis/*diagnosis/etiology/surgery;
Magnetic Resonance Angiography/methods;
Renal Artery/*abnormalities/radiography;
Risk Assessment;
Tomography, X-Ray Computed;
Treatment Outcome;
Ureteral Obstruction/*complications/radiography/surgery;
Urography/methods;
Urologic Surgical Procedures/methods
- From:The Korean Journal of Internal Medicine
2003;18(1):57-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ureteropelvic junction obstruction is usually intrinsic and is most common in children. Aberrant renal arteries are present in about 30% of individuals. Aberrant renal arteries to the inferior pole cross anteriorly to the ureter and may cause hydronephrosis. To the best of our knowledge, although there are some papers about aberrant renal arteries producing ureteropelvic junction obstruction, there is no report of a case which is diagnosed by the new modalities, such as computed tomography angiogram (CTA) or magnetic resonance angiogram (MRA). We describe a 36-year-old woman with right hydronephrosis. Kidney ultrasonogram and excretory urogram revealed right hydronephrosis. CTA and MRA clearly displayed an aberrant renal artery and hydronephrosis. The patient underwent surgical exploration. For the evaluation of hydronephrosis by an aberrant renal artery, use of CTA and MRA is advocated.
