Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 2

Epidemiology of Accessory Renal Vessels Among Patients with Hydronephrosis in Albania

Bilbil Hoxha1*, Ervin Toçi2, Enver Roshi2, Fjolla Hyseni3, Sharif Salaheddin MB Ch.B PhD4, Guri Hyseni5, Naglaa Ghobriel MBBS6, Suada Kazazi MD7, Deepali FNU MBBS8, Jacklyn Tan Wohlers9, Hafsa Safer Mian MBBS10,Carlos Gallego Navarro11 and Jyotsna MBBS12

1Urology Service, University Hospital Center “Mother Teresa”, Tirana, Albania
2Department of Public Health, Faculty of Medicine, University of Medicine, Tirana, Albania
3Fjolla Hyseni MD PhD candidate NYU Langone Medical Center New York City, USA
4Cardiovascular Department Mayo Clinic Rochester, USA
5MBBS Faculty of Medicine Alexandria University of Egypt
6Department of Endocrine, Mayo Clinic, Rochester Minnesota, USA
7Primary Healthcare Tirana, Albania
9Jacklyn Tan Wohlers, Department of Laboratory Medicine and Pathology, Mayo Clinic Rocester MN, USA
10MBBS Medicine department sheikh Zayed hospital Pakistan

*Corresponding Author: Bilbil Hoxha, Department of Surgery, Urology Service, University Hospital Center “Mother Teresa”, Tirana, Albania.

Received: December 20, 2022; Published: January 20, 2023


Purpose: This study aimed to shed light on the prevalence and epidemiology of aberrant renal vessels in a group of patients diagnosed with hydronephrosis in Albania.

Material and Methods: This is a case-series study of 81 patients diagnosed with hydronephrosis and showing up at the Urology Service of the University Hospital Center "Mother Teresa", in Tirana, during the years 2010-2014. All patients were examined in order to confirm the hydronephrosis diagnosis and to potentially detect the presence of aberrant renal vessels. Basic socio-demographic data were collected and the chi square test was used to assess their distribution among patients with and without aberrant renal vessels.

Results: The mean age of participating patients was 27.7 years ± 13.78 years, 51.9% males, 53.1% residing in urban areas, 42% unemployed. The patients came all over the country as demonstrated by the distribution of them according to country’s prefectures. The overall prevalence of aberrant vessels in patients with hydronephrosis was 42%, the prevalence of aberrant renal arteries was 29.6%, and the prevalence of aberrant renal veins was 18.5%. About 32% of patients with hydronephrosis had one type of aberrant renal vessel (artery or vein) and 9.9% had both types of aberrant renal vessel (both artery and vein). In 9.9% of cases aberrant vessels were located in the right kidney, in 30.9% of the participants they were located in the left kidney and in 1.2% of all participants the aberrant vessels were present in it both kidneys simultaneously (bilateral). No significant differences in the prevalence of aberrant renal vessels were detected by gender, age and place of residence of participants.

Conclusions: The epidemiology of aberrant renal vessels among patients with hydronephrosis in Albania is comparable to literature reports. The epidemiology of accessory renal vessels can help professionals in the field to suspect and seek evidence of these structures in their patients, since these health conditions are quite frequent and could interfere with the relevant surgical procedures.

Keywords: Albania; Aberrant Renal Vessels; Accessory; Epidemiology; Multiple


  1. Gulas E., et al. “Accessory (multiple) renal arteries - Differences in frequency according to population, visualizing techniques and stage of morphological development”. Vascular5 (2016): 531-537.
  2. Mir NS., et al. “Bilateral duplication of renal vessels: anatomical, medical and surgical perspective”. International Journal of Health Sciences (Qassim) (2008): 179-185.
  3. AbdulMonamZainel M and Suhelmawloodalnajjar. “Incidence and Variations of Aberrant Renal Arteries in Kidney Donors Cases”. Medico-legal Update1 (2020): 415-421.
  4. Aristotle S., et al. “Anatomical study of variations in the blood supply of kidneys”. Journal of Clinical and Diagnostic Research 8 (2013): 1555-1557.
  5. Coulier B. “Ten renal arteries found in a 51-year-old man during multidetector computed tomography (MDCT) angiography”. Anatomical Science International 1 (2014): 62-63.
  6. Çınar C and Türkvatan A. “Prevalence of renal vascular variations: Evaluation with MDCT angiography”. Diagnostic and Interventional Imaging9 (2016): 891-897.
  7. Gebremickael A., et al. “Renal vascular variations among kidney donors presented at the national kidney transplantation center, Addis Ababa, Ethiopia”. Translational Research in Anatomy 25 (2021): 100145.
  8. Geyer JR and Poutasse EF. “Incidence of multiple renal arteries on aortography. Report of a series of 400 patients, 381 of whom had arterial hypertension”. JAMA 182 (1962): 120-125.
  9. Graves FT. “The aberrant renal artery”. Journal of Anatomy4 (1956): 553-558.
  10. Gulas E., et al. “Morphological and clinical aspects of the occurrence of accessory (multiple) renal arteries”. Archives of Medical Science 2 (2018): 442-453.
  11. Gupta A., et al. “Congenital variations of renal veins: Embryological background and clinical implications”. Journal of Clinical and Diagnostic Research 6 (2016): 1140-1443.
  12. Hostiuc S., et al. “Anatomical variants of renal veins: A meta-analysis of prevalence”. Scientific Report1 (2019): 10802.
  13. Kachlík D., et al. “Variant Anatomy and Its Terminology”. Medicina (Kaunas)12 (2020): 713.
  14. Maleki H., et al. “Frequencies of accessory renal arteries in 129 Iranian patients”. American Journal of Clinical and Experimental Urology 1 (2020): 38-42.
  15. Miclaus GD and Matusz P. “Bilateral quadruple renal arteries”. Clinical Anatomy8 (2012): 973-976.
  16. Pradhay G., et al. “Prevalence and Relevance of Multiple Renal Arteries: A Radioanatomical Perspective”. Cureus 10 (2021): e18957.
  17. Recto C., et al. “Renal artery variations: a 20.782 kidneys review”. Italian Journal of Anatomy and Embriology2 (2019): 153-163.
  18. Urban BA., et al. “Three-dimensional volume-rendered CT angiography of the renal arteries and veins: normal anatomy, variants, and clinical applications”. Radiographics2 (2001): 373-386; questionnaire 549-555.
  19. Yufa A., et al. “Accessory renal arteries involved in atherosclerotic occlusive disease at the aortic bifurcation”. Journal of Vascular Surgery Cases, Innovations and Techniques 3 (2020): 425-429.


Citation: Bilbil Hoxha., et al. “Epidemiology of Accessory Renal Vessels Among Patients with Hydronephrosis in Albania”.Acta Scientific Medical Sciences 7.2 (2023): 110-117.


Copyright: © 2022 Bilbil Hoxha., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In

News and Events

Contact US