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May 1, 1909, Vol LII, No. 18 >
ARTICLE | May 1, 1909

RELATION OF ANOMALOUS RENAL BLOOD VESSELS TO HYDRONEPHROSIS

WILLIAM J. MAYO, M.D.; W. F. BRAASCH, M.D.; W. C. MacCARTY, M.D.
JAMA. 1909;LII(18):1383-1388. doi:10.1001/jama.1909.25420440011001d.
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SURGICAL CONSIDERATIONS  My attention was first called to the relation existing between anomalous blood vessels and intermittent hydronephrosis some six years ago, while I was exploring the pelvis of a kidney which was bound down by adhesions producing a kink in the ureter. The ureter was separated just at the pelvis of the kidney, and all the tissues concerned outside of the ureter were divided without previously catching them in forceps. The result was a very smart hemorrhage which was difficult to control because the artery in this case, one of two, came directly from the aorta. The vessel was about the size of the radial. After this, in operating for such conditions, the ureter was separated and any tissue present was carefully inspected before division.It is a significant fact that in twenty out of the twenty-seven cases of hydronephrosis herewith reported anomalous blood vessels were present, and the

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