CLINICAL CASE: DOUBLING OF THE RIGHT KIDNEY ARTERY, COMPLICATED BY COMPRESSION AND THROMBOSIS OF THE RIGHT KIDNEY VEIN, FLOATING THROMBOSIS OF THE VENA CAVA INFERIOR

Abstract

Summary. Patient K., apply to Ternopil University Hospital with complaints of hematuria and intermittent low back pain. Complaints were noted in the last two days, for the first time. During examination of patient limb edema was detected. Laboratory indexes: general blood tests and electrocardiogram – without pathological changes. Cystourethroscopy, no pathology was detected. According to ultrasonographic examination of the abdomen, retroperitoneal organs, lower extremities, no pathological changes were detected. Computed tomography with contrast of the vessels of the abdominal organs was performed. Doubling of the right renal artery with an atypical abnormal location of the accessory artery was revealed.

As a result of the conducted diagnosis of diseases the patient was able to establish a congenital anomaly development of the arterial system of the right kidney which caused compression of the right renal vein, and ectasia, venous stasis of blood and the phenomenon of phlebohypertension in the right kidney, which, in fact, caused hematuria. Venous stasis caused thrombosis with progression of thrombosis to the vena cava inferior with flotation into the lumen.

Considering the fact of flotation with the spread of thrombotic masses in the inferior vena cava, the method of treatment is surgery – thrombectomy of the right renal and vena cava inferior.