Retrocaval Testicular Artery associated with multiple Vascular Variations of the Right Kidney and its Surgical Importance

Variations in the branching pattern of renal vessels are not uncommon. But, a concurrent variation involving the renal vessels and testicular artery is a rare occurrence. In the current case we report the presence of double renal veins, anterior (superior) and posterior (inferior) which drained into the inferior vena cava separately. Sandwiched between these veins was the renal artery which branched into 4 segmental branches outside the renal hilum. We also observed that running between these renal vessels was the right testicular artery which followed an unusual retrocaval course from its origin. Prior knowledge of such type of variations is very important for the surgeons as to failure to identify such variations may lead to diagnostic errors and might bleed profusely during surgical and interventional approaches when unnoticed. Thus, knowledge of these variations is important for urologists, radiologists and surgeons in general.