# A rare case of multiple visceral vascular variations around the kidneys: morphological and clinical aspects

## TL;DR

This paper describes a rare case of unusual blood vessel variations around the kidneys, which could impact surgical planning and clinical diagnosis.

## Contribution

The study presents a rare combination of anatomical vascular variations around the kidneys with clinical relevance.

## Key findings

- An accessory renal artery was found on the right side, originating distal to the main renal artery.
- The left testicular artery had an arched course mimicking a nutcracker phenomenon.
- The right kidney was drained by two renal veins into the inferior vena cava.

## Abstract

Knowledge of the anatomical variations of the visceral branches of the abdominal aorta is important information for planning any surgeries in the region. We present here a rare constellation of variations of visceral vessels around the kidneys with a brief review of the recent literature. On the right side, an accessory renal artery was observed originating just distal to the main renal artery. The middle suprarenal artery was absent on the right side and there were two inferior suprarenal arteries originating from a branch of the main right renal artery. On the left side, the testicular artery had an arched course anterior to the left renal vein mimicking an unusual variety of nutcracker phenomenon. The right kidney was drained by two renal veins into the inferior vena cava. Knowledge of the coexistence of such complex anatomical variations might be helpful for clinicians during diagnostic and therapeutic procedures.