Therenal veinsin therenal circulation,are large-calibre[1]veinsthat drain blood filtered by thekidneysinto theinferior vena cava.There is one renal vein draining each kidney.[citation needed]Each renal vein is formed by the convergence of theinterlobar veinsof one kidney.[2]

Renal vein
The anterior surfaces of the kidneys, showing the areas of contact of neighboring viscera.
Details
Drains fromKidney
SourceInterlobar veins,leftovarian vein
Drains toInferior vena cava
ArteryRenal artery
Identifiers
Latinvenae renales
MeSHD012082
TA98A12.3.09.009
TA25000,5006
FMA14334
Anatomical terminology

Because the inferior vena cava is on the right half of the body, the left renal vein is longer than the right one.

Structure

edit

One renal vein drains eachkidney.[citation needed]A renal vein is situated anterior to its corresponding accompanyingrenal artery.The renal veins empty into theinferior vena cava,entering it at nearly a 90° angle.[1]

Due to the right-ward displacement of the inferior vena cava from the midline, the left renal vein is some 3 times longer than the right one (~7.5 cm and ~2.5 cm, respectively).[1]

The renal vein divides into 4 divisions upon entering the kidney:[contradictory][citation needed]

  • the anterior branch which receives blood from the anterior portion of the kidney and,
  • the posterior branch which receives blood from the posterior portion.

Tributaries

edit

Because the tributaries of theinferior vena cavaare not bilaterally symmetrical, the left renal vein often receives the ipsilateralinferior phrenic vein,suprarenal vein,gonadal vein(left testicular veinin males,left ovarian veinin females), and 2ndlumbar vein.[3]This is in contrast to the right side of the body, where these veins drain directly into the IVC.[3]

Relations

edit

The anatomical relations of the two renal veins are bilaterally asymmetrical.

Left renal vein

The left renal vein is situated posterior to thesplenic vein,and thebody of the pancreas.[1]It passes through the angle formed by the abdominal aorta (situated posteriorly), andsuperior mesenteric artery(situated anteriorly) (increased acuteness of this angle may lead to the left renal vein being "pinched" between the two arteries, with the resulting compression impairng blood flow through the vein, a condition known asnutcracker syndrome). Occasionally, the left renal vein (or accessory left renal vein) passes posterior to the aorta.[1]

Right renal vein

The right renal vein is situated posterior to the descending part of theduodenum.[1]

Variation

edit

There is typically a single renal vein drainin each kidney, but accessory renal veins are commonly encountered; renal vasculature anomalies are more frequent withectopic kidneys,and almost always present withhorseshoe kidney).[4]

In some individuals, the left renal vein passes posterior to the abdominal aorta instead of in anterior to it;[1]this is termed a retro-aortic left renal vein (also known as "The Vein of Schnitker" ). If there is both a vein passing in front of and one behind the aorta this is called a circumaortic renal vein. In the case of a left sided IVC and the right renal vein passes behind the abdominal aorta, this is termed a retroaortic right renal vein, which is also known as “The Reverse Vein of Schnitker”.[citation needed]

Clinical significance

edit

Diseases associated with the renal vein includerenal vein thrombosis(RVT) andnutcracker syndrome(renal vein entrapment syndrome).[citation needed]

Additional images

edit

See also

edit

References

edit
  1. ^abcdefgGray's anatomy: the anatomical basis of clinical practice.Susan Standring (Forty-second ed.). [New York]. 2021. p. 1144.ISBN978-0-7020-7707-4.OCLC1201341621.{{cite book}}:CS1 maint: location missing publisher (link) CS1 maint: others (link)
  2. ^Martini, Frederic; Tallitsch, Robert B.; Nath, Judi L. (2017).Human Anatomy(9th ed.). Pearson. p. 689.ISBN9780134320762.
  3. ^abDissector Answers - Kidney & RetroperitoneumArchived2007-11-09 at theWayback Machine
  4. ^"Multiple renal veins".Medcyclopaedia.GE.Archived fromthe originalon 2012-02-05.
edit
  • Anatomy figure: 40:06-05at Human Anatomy Online, SUNY Downstate Medical Center - "Retroperitoneal structures on the posterior abdominal wall."