Venous Drainage

Renal Cell Carcinoma (RCC) with Delayed Excretory Phase
23 F year old female presents with hematuria. CT scan through the middle of the kidneys shows a normal right kidney in the excretory phase. There is a delay in the excretory phase of the left kidney with evidence of nutcracker effect on the renal vein by the SMA (dark blue arrowhead upper and lower image) with significant upstream distension of the left renal vein (teal blue arrowhead upper and lower images) The left kidney remains in corticomedullary phase (black arrowhead in lower image). The tumor is ill defined in this image but in part is appreciated (green arrowhead lower image).
Ashley Davidoff MD TheCommonVein.net 24165cL
33-year-old female with hematuria. Axial CT through the mid kidneys reveals thrombosis of the left renal vein with swelling of the left kidney and with a mild delay in the nephrogram.
Ashley Davidoff MD TheCommonVein.net 13559