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Case Reports in Nephrology
Volume 2015, Article ID 178310, 3 pages
http://dx.doi.org/10.1155/2015/178310
Case Report

Concomitant Persistent Left Superior Vena Cava and Horseshoe Kidney

University of Arizona, South Campus, Tucson, AZ 85715, USA

Received 23 October 2014; Accepted 19 December 2014

Academic Editor: Yoshihide Fujigaki

Copyright © 2015 Faraz Jaffer and Vijay Chandiramani. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Persistent left superior vena cava (PLSVC) and horseshoe kidney (HSK) are common congenital abnormalities; however presence of both in the same person is extremely rare. A patient with hepatitis C cirrhosis awaiting transplant presented with worsening liver dysfunction, diagnosed with acute renal failure secondary to hepatorenal syndrome, and required X-ray fluoroscopy guided tunneled venous catheter placement for hemodialysis. Review of imaging studies demonstrated coexistence of PLSVC and HSK. PLSVC in adulthood is usually incidental with the most common drainage pattern being without physiologic dysfunction. Isolated horseshoe kidney is still the most common of renal fusion anomalies; however etiology of coexistent PLSVC remains unknown.