Renal vein

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Renal vein
Gray1122.png
The anterior surfaces of the kidneys, showing the areas of contact of neighboring viscera.
Blausen 0592 KidneyAnatomy 01.png
Details
Drains from Kidney
Source Interlobar veins, left ovarian vein
Drains to Inferior vena cava
Artery Renal artery
Identifiers
Latin venae renales
MeSH D012082
TA98 A12.3.09.009
TA2 5000, 5006
FMA 14334
Anatomical terminology

The renal veins in the renal circulation, are large-calibre [1] veins that drain blood filtered by the kidneys into the inferior vena cava. There is one renal vein draining each kidney.[ citation needed ] Each renal vein is formed by the convergence of the interlobar veins of one kidney. [2]

Contents

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

Structure

One renal vein drains each kidney.[ citation needed ] A renal vein is situated anterior to its corresponding accompanying renal artery. The renal veins empty into the inferior 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 ]

Tributaries

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

Relations

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

Left renal vein

The left renal vein is situated posterior to the splenic vein, and the body of the pancreas. [1] It passes through the angle formed by the abdominal aorta (situated posteriorly), and superior 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 as nutcracker 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 the duodenum. [1]

Variation

There is typically a single renal vein drainin each kidney, but accessory renal veins are commonly encountered; renal vasculature anomalies are more frequent with ectopic kidneys, and almost always present with horseshoe 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

Diseases associated with the renal vein include renal vein thrombosis (RVT) and nutcracker syndrome (renal vein entrapment syndrome).[ citation needed ]

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Inferior vena cava</span> One of two veinous trunks bringing deoxygenated blood back to the heart

The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.

<span class="mw-page-title-main">Retroperitoneal space</span> Anatomical space in the abdominal cavity behind the peritoneum

The retroperitoneal space (retroperitoneum) is the anatomical space behind (retro) the peritoneum. It has no specific delineating anatomical structures. Organs are retroperitoneal if they have peritoneum on their anterior side only. Structures that are not suspended by mesentery in the abdominal cavity and that lie between the parietal peritoneum and abdominal wall are classified as retroperitoneal.

<span class="mw-page-title-main">Azygos vein</span> Human blood vessel by the spine

The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood to the right atrium when either of the venae cavae is blocked.

<span class="mw-page-title-main">Abdominal aorta</span> Largest artery in the abdomen

In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.

<span class="mw-page-title-main">Renal artery</span> Vessel supplying blood to kidney

The renal arteries are paired arteries that supply the kidneys with blood. Each is directed across the crus of the diaphragm, so as to form nearly a right angle.

<span class="mw-page-title-main">Periaortic lymph nodes</span> Human lymph nodes

The periaortic lymph nodes are a group of lymph nodes that lie in front of the lumbar vertebrae near the aorta. These lymph nodes receive drainage from the gastrointestinal tract and the abdominal organs.

<span class="mw-page-title-main">Superior mesenteric artery</span> Artery which supplies blood to the intestines and pancreas

In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas.

<span class="mw-page-title-main">Common iliac vein</span> Veins draining blood from the pelvis and lower limbs

In human anatomy, the common iliac veins are formed by the external iliac veins and internal iliac veins. The left and right common iliac veins come together in the abdomen at the level of the fifth lumbar vertebra, forming the inferior vena cava. They drain blood from the pelvis and lower limbs.

<span class="mw-page-title-main">Inferior mesenteric artery</span>

In human anatomy, the inferior mesenteric artery (IMA) is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.

<span class="mw-page-title-main">Hepatic veins</span> One of two sets of veins connected to the liver

In human anatomy, the hepatic veins are the veins that drain venous blood from the liver into the inferior vena cava. There are usually three large upper hepatic veins draining from the left, middle, and right parts of the liver, as well as a number (6-20) of lower hepatic veins. All hepatic veins are valveless.

<span class="mw-page-title-main">Coronary sinus</span> Set of veins which drain blood from the myocardium (heart muscle)

The coronary sinus is the largest vein of the heart. It drains over half of the deoxygenated blood from the heart muscle into the right atrium. It begins on the backside of the heart, in between the left atrium, and left ventricle; it begins at the junction of the great cardiac vein, and oblique vein of the left atrium. It receives multiple tributaries. It passes across the backside of the heart along a groove between left atrium and left ventricle, then drains into the right atrium at the orifice of the coronary sinus.

<span class="mw-page-title-main">Renal circulation</span>

The renal circulation supplies the blood to the kidneys via the renal arteries, left and right, which branch directly from the abdominal aorta. Despite their relatively small size, the kidneys receive approximately 20% of the cardiac output.

<span class="mw-page-title-main">Nutcracker syndrome</span> Medical condition

The nutcracker syndrome (NCS) results most commonly from the compression of the left renal vein (LRV) between the abdominal aorta (AA) and superior mesenteric artery (SMA), although other variants exist. The name derives from the fact that, in the sagittal plane and/or transverse plane, the SMA and AA appear to be a nutcracker crushing a nut.

<span class="mw-page-title-main">Inferior phrenic arteries</span>

The inferior phrenic artery is a bilaterally paired artery of the abdominal cavity which represents the main source of arterial supply to the diaphragm. Each artery usually arises either from the coeliac trunk or the abdominal aorta, however, their origin is highly variable and the different sites of origin are different for the left artery and right artery. The superior suprarenal artery is a branch of the inferior phrenic artery.

<span class="mw-page-title-main">Testicular artery</span> Branch of the abdominal aorta that supplies blood to the testicle

The testicular artery is a branch of the abdominal aorta that supplies blood to the testicle. It is a paired artery, with one for each of the testicles.

<span class="mw-page-title-main">Ovarian vein</span>

The ovarian vein, the female gonadal vein, carries deoxygenated blood from its corresponding ovary to inferior vena cava or one of its tributaries. It is the female equivalent of the testicular vein, and is the venous counterpart of the ovarian artery. It can be found in the suspensory ligament of the ovary.

<span class="mw-page-title-main">Testicular vein</span>

The testicular vein, the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.

<span class="mw-page-title-main">Lumbar veins</span> Veins that drain the posterior abdominal wall

The lumbar veins are four pairs of veins running along the inside of the posterior abdominal wall, and drain venous blood from parts of the abdominal wall. Each lumbar vein accompanies a single lumbar artery. The lower two pairs of lumbar veins all drain directly into the inferior vena cava, whereas the fate of the upper two pairs is more variable.

<span class="mw-page-title-main">Lobes of liver</span> Four gross divisions of the human liver

In human anatomy, the liver is divided grossly into four parts or lobes: the right lobe, the left lobe, the caudate lobe, and the quadrate lobe. Seen from the front – the diaphragmatic surface – the liver is divided into two lobes: the right lobe and the left lobe. Viewed from the underside – the visceral surface – the other two smaller lobes, the caudate lobe and the quadrate lobe, are also visible. The two smaller lobes, the caudate lobe and the quadrate lobe, are known as superficial or accessory lobes, and both are located on the underside of the right lobe.

References

  1. 1 2 3 4 5 6 7 Gray's anatomy : the anatomical basis of clinical practice. Susan Standring (Forty-second ed.). [New York]. 2021. p. 1144. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{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. ISBN   9780134320762.
  3. 1 2 Dissector Answers - Kidney & Retroperitoneum Archived 2007-11-09 at the Wayback Machine
  4. "Multiple renal veins". Medcyclopaedia. GE. Archived from the original on 2012-02-05.