EURORAD ESR

Case 1292

Renal vein aneurysm associated with varices

Author(s)
N. Tasali, L. Celik, A. Arman, B. Tasel H. Kuyumcu
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Ultrasound examination

    B-mode grey-scale US examination shows an anechoic 33 x 47 mm cyst-like mass with regular borders close to the left renal hilus. It was thought to be simple renal cyst with an exophytic origin.

     
    Area of Interest: unknown; Imaging Technique: Ultrasound examination;
     
     
  • Figure 2
    Doppler sonography

    Doppler sonography revealing a non-homogenous venous flow filling the cystic mass.

     
    Area of Interest: unknown; Imaging Technique: Doppler sonography;
     
     
  • Figure 3
    Doppler sonography

    The left renal artery (red coloured) was taking a course inferior to the aneurysmatic left renal vein.

     
    Area of Interest: unknown; Imaging Technique: Doppler sonography;
     
     
  • Figure 4
    Doppler sonography

    Spectral Doppler analysis showed a normal flow patern in all parts of the left renal artery.

     
    Area of Interest: unknown; Imaging Technique: Doppler sonography;
     
     
  • Figure 5
    Contrast-enhanced CT

    Contrast-enhanced CT scan revealed the aneurysm itself, associated with moderate dilatation in the renal segmental veins and the left ovarian vein.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;
     
     
  • Figure 6
    Contrast-enhanced CT (reconstruction image)

    Contrast-enhanced CT scan revealed the aneurysm itself, associated with moderate dilatation in the renal segmental veins and the left ovarian vein.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT (reconstruction image);
     
     
  • Figure 7
    MRI scan: T2-weighted image

    In the lumbosacral MRI scan of the patient, which was obtained about a year before the Doppler sonography, examimation shows a signal-void nodular mass in the left renal hilus.

     
    Area of Interest: unknown; Imaging Technique: MRI scan: T2-weighted image;
     
     
B-mode grey-scale US examination shows an anechoic 33 x 47 mm cyst-like mass with regular borders close to the left renal hilus. It was thought to be simple renal cyst with an exophytic origin.
 
Doppler sonography revealing a non-homogenous venous flow filling the cystic mass.
 
The left renal artery (red coloured) was taking a course inferior to the aneurysmatic left renal vein.
 
Spectral Doppler analysis showed a normal flow patern in all parts of the left renal artery.
 
Contrast-enhanced CT scan revealed the aneurysm itself, associated with moderate dilatation in the renal segmental veins and the left ovarian vein.
 
Contrast-enhanced CT scan revealed the aneurysm itself, associated with moderate dilatation in the renal segmental veins and the left ovarian vein.
 
In the lumbosacral MRI scan of the patient, which was obtained about a year before the Doppler sonography, examimation shows a signal-void nodular mass in the left renal hilus.
 
 
 
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