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Coronal section of CT showing the abdominal aorta continuing as the common left iliac artery which bifurcates into the left internal and external iliac arteries. The right common iliac artery is absent.
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The CT revealed aberrant iliac vasculature - the right common and external iliac arteries are not visualized as the abdominal aorta ends with the left common iliac artery bifurcating into the left internal and external iliac arteries (Fig. 1).
3D reconstruction of CT showing a missing right common iliac artery and the anomalous branch from the left internal iliac artery crossing the pelvis. A branch arising from the right side of the distal abdominal aorta, superior to the bifurcation, gives off a few pelvic branches before continuing along the pelvic side wall to receive the anomalous branch from the left internal iliac artery just proximal to the femoral canal. This then continues distally into the right lower limb as the right common femoral artery.
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The combined vessel then continued distally as the right common femoral artery (Fig. 2).
Intra-operative image of the left external and internal iliac arteries, as well as the preserved anomalous vessel branching off the internal iliac artery.
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Intra-operatively, dissection of the left iliac vessels clearly demonstrated the anomalous vessel branching off the left internal iliac artery and this was carefully preserved (Fig. 3).
MAG 3 scan depicting perfusion to the transplanted kidney in the left iliac fossa.
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Mercaptoacetyltriglycine-3 (MAG-3) and ultrasound scans showed prompt perfusion to the transplant kidney with normal flow velocities and Doppler waveforms (Fig. 4).