Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 1 | Page No. 1931-1940
Date of Publication: 29-02-2016
PRESENCE OF ACCESSORY RENAL ARTERY IN SUDANESE PEOPLE
Amal Yousif Ahmed Elhaj Mustafa *1, Qurashi Mohammed Ali 2, Mohammed Elimam 3.
*1 Assistant Professor, Department of Human Anatomy, Faculty of Medicine, Umm al Qura University, Makkah, Saudi Arabia.
2 Professor, Department of Anatomy, National University, Sudan.
3 Surgical Urologist, Gezira University, Sudan.
Address: Dr. Amal Yousif Ahmed Elhaj Mustafa, Assistant Professor, Department of Human Anatomy, Faculty of Medicine, Umm al Qura University, Makkah, Saudi Arabia.
Background: Renal artery variations including their number, source, and course are very common congenital abnormalities. The renal artery variations in Sudanese population are not fully studied. Comprehensive studies on the incidence and types of renal artery anomalies are limited. This study, aimed at study renal artery variations in population living in Sudan in the period from May 2010 - May 2011.
Methodology: The sample size of this study was 301 individuals, (549 kidneys), from which 60 were cadavers (111 kidneys), 191 donors (339 kidneys), and 50 angiographs, (99 kidneys) from patients with renal and many other problems from both sexes in Gezira and Khartoum state. The study used three different methods for renal artery identification. These are the intra operative surgical way, dissection and postmortem, and the imaging (angiography) method. Cadavers were carefully dissected and the kidney and renal artery length and width were measured by using ruler. The mean age of the individuals was 36±0.806 years.
Result: The result revealed that single renal artery occurred in 439(79.96%) out of 549 kidneys. 110(20.04%) kidneys analyzed presented multiple renal arteries. 78(14.21%) had double renal artery, 26(4.74%) had triple renal arteries, and 6(1.09%) kidneys had four renal arteries.
Conclusion: The study concluded that the renal arteries present a broad spectrum of variability in Sudanese in their morphological expression.
Key words: Renal artery, Postmortem, Angiographs.
- Satyapal, K.S. Letter to the Editor. Reply to ‘Anatomy of renal arterial supply’. Clin Anat 2004;17:688.
- Khamanarong, K, Prachaney P, Utraravichien A, Tong-Un T, Sripaoraya K. Anatomy of renal arterial supply. Clin Anat. 2004;17(4):334-6.
- Moore K.L, Agur A.M. Essential Clinical Anatomy. 2nd Edition Lippincott Williams and Wilkins. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo, 2002;183.
- Bergman, R.A, Afifi K, Ryosuke Miyauchi MS. Illustrated Encyclopedia of Human Anatomic Variation. Opus II: Cardiovascular System, Arteries, Abdomen, Lumbar arteries. 2010. http://www.anatomyatlases.org/AnatomicVariants/Cardiovascular/Text/Arteries/Lumbar.shtml (accessed June 2010)
- Williams, PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MW. Gray's Anatomy. 38th ed. London: Churchill Livingstone 1995: 204, 318, 326, 361, 1548, 1557, 1559, 1826, 1827, 1920.
- Standring, S, Ellis H, Healey J.C. Gray’s anatomy: the anatomical basis of clinical practice, Elsevier– Churchill Livingstone Publishers, London 2005,1274–1275.536.
- Ozkan U, Oguzkurt L, Tercan F, Kizilkiliç O, Koç Z, Koca N. Renal artery origins and variations: angiographing evaluation of 855 consecutive patients. Diagn Interv Radiol. 2008;12(4):183–186.
- Williams P. L, Warwick R, Dyson M, Bannister L. H. Gray’s anatomy. 38th. Ed. Edinburgh, Scotland, Churchill Livingston 2001.
- Moore KL, Persaud TVN. The Developing Human: Clinically Oriented Embryology. 7th ed. Philadelphia: WB Saunders 2002.
- Ozan H, Alemdaroglu A, Sinav A, Gumusalan Y. Location of the ostia of the renal arteries in the aorta. Surg. Radiol. Anat., 1997;19(4):245-7.
- Bordei, P, Sapte, E, Iliescu, D. Double renal arteries originating from the aorta. Surg Radiol Anat. 2004 Dec;26(6):474-9.
- Cicekcibasi A. E, Ziylan T, Salbacak A, Seker M, Buyukmumcum M, Tuncer I. An investigation of the origin, localization and variations of the renal arteries in human fetuses and their clinical relevance. Ann. Anat.,2005;187(4): 421-7.
- Aragoa J.A, Olivera J.M, Sliva L.A. Frequency of multiple renal arteries in human fetuses. J of surgical radiological anatomy.2011;34(2):133-133.
- Shruthi B.N, Shubha R.M. Correlation of caliber of main renal artery with that of accessory renal artery. J. Anatomica Karnataka, 2011;5(3):30
- Saldarriaga B, Pinto, S. A, Ballesteros, Le. Morphological expression of the renal artery. A direct anatomical study in a Colombian half-caste population. Int. J. Morphol., 2008;26(1):31-38.
- Satyapal, K. S, Haffejee A. A, Singh, B, Ramsaroop, L, Robbs J. V, Kalideen J. M. Additional renal arteries: incidence and morphometry. Surg. Radiol. Anat., 2001;23:33-8.
- Rosa AM, Perloff LJ, Naji A, et al. Living related donors with multiple renal arteries – a twenty year experience. Transplantation 1989;47:397-399.102-104.
- Saldarriaga B, Pinto S. A., Ballesteros Le. Morphological expression of the renal artery. A direct anatomical study in a Colombian half-caste population. Int. J. Morphol.,2008; 26(1):31-38.
- Sampaio FJB, Anderson K. The renal arterial pedicle in the human fetus. Universite d’Etat de Riَ de Janeiro. J Urol Paris, 1997;103:20–23.
- Bergman RA, Afifi, AK, Miyauchi R. Renal arteries: Illustrated encyclopedia of human anatomic variation: Opus II: Cardiovascular system: Arteries: Abdomen 2005. Available from: micVariants/Cardiovascular/ Text/ Arteries/Renal. html.
- Ozkan U, Oguzkurt L, Tercan F, Kizilkiliç O, Koç Z. Koca N. Renal artery origins and variations: angiographing evaluation of 855 consecutive patients. Diagn Interv Radiol, 2008;12(4):183–186.
- Kadir, S, Kidneys. In: Kadir S, ed. Atlas of Normal and Variant Angiographic Anatomy. Philadelphia: W.B. Saunders Company 1991;387–429.
- Holden A, Smith A, Dukes P, Pilmore H, Yasutomi. Assessment of 100 live potential renal donors for laparoscopic Nephrectomy with Multi-Detector row helical CT. Radiology 2005;237:973–980.
- Raom Bhat SM, Venkataramana V, Deepthinath R, Bolla SR. Bilateral prehilar multiple branching of renal arteries: a case report and literature review, Kathmandu University Medical Journal (KUMJ) 2006; 4(3):345–348.
- Moore, K.L, Agur A.M. Essential Clinical Anatomy. 2nd Edition Lippincott Williams and Wilkins. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo, 2002;183.
- Sampaio F. J, Passos M. Renal arteries: anatomic study for surgical and radiological practice, Surg. Radiol. Anat., 1992;14:113-7.
- Longia G.S, Kumar V, Gupta C. D. Intrarenal arterial pattern of human kidney-corrosion cast study. Anatomischer. Anzeiger, 1984;155(1-5):13-15.
- Bergman Ra, Cassell Md, Sahinoglu K, Heidger, Pm Jr. Human doubled renal and testicular arteries, Ann Anat, 1992;174(4):313–315.
- Janschek, E. C, Rothe A. U, Holzenbein T. J, Langer F, Brugger, P. C, Pokorny H. et al. Anatomic basis of right renal vein extension for cadaveric kidney transplantation. Urology,2004;63:660-4.
Amal Yousif Ahmed Elhaj Mustafa, Qurashi Mohammed Ali, Mohammed Elimam. PRESENCE OF ACCESSORY RENAL ARTERY IN SUDANESE PEOPLE. Int J Anat Res 2016;4(1):1931-1940. DOI: 10.16965/ijar.2016.116