Co-existence of the double inferior vena cava with complex interiliac venous communication and aberrant common hepatic artery arising from superior mesenteric artery: a case report

Chentanez, Vilai; Nateniyom, Natcha; Huanmanop, Thanasil; Agthong, Sithiporn

doi:10.5603/fm.a2017.0074

Cited by 5 publications

(7 citation statements)

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“…Ultimately, 4 segments constitute the normal IVC: the hepatic segment arises from the right hepatic vein, the supra-renal segment arises from the right sub-cardinal vein, the renal segment arises from the right supra-sub-cardinal and post-sub-cardinal anastomoses, and the infra-renal segments arise from the right supra-cardinal anastomosis [ 2 , 4 , 5 ]. Persisting right and left supra-cardinal vein have been reported to result in the double IVC anomaly [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

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Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review

et al. 2021

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Patient: Male, 36-year-old Final Diagnosis: Double inferior vena cava Symptoms: Asymptomatic Medication:— Clinical Procedure: — Specialty: Genetics • Radiology • Surgery Objective: Congenital defects/diseases Background: With a prevalence of about 2% to 3%, duplication is the most common anomaly associated with the inferior vena cava (IVC). In general, systemic venous anomalies are being more frequently diagnosed in asymptomatic patients. We report the case of a young man with an incidental finding of an asymptomatic duplicated IVC, along with a literature review. Case Report: A 36-year-old man was brought to our Emergency Department (ED) following a high-speed motor vehicle collision (MVC), reporting right flank and hip pain. Upon examination, the “seatbelt sign” was noticed, along with abrasions over his right side. He sustained a small-bowel mesenteric injury, for which he was admitted and was treated conservatively. A CT scan incidentally revealed a duplicate IVC (DIVC). He later underwent a laparotomy with limited right hemi-colectomy and was discharged home in good condition. Conclusions: Undiscovered and asymptomatic DIVCs pose a potential risk to patients during clinical interventions. Advancements in diagnostic imaging contribute greatly to the incidental discoveries of inferior vena cava duplication.

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Section: Discussionmentioning

confidence: 99%

“…The most common anomaly of the IVC is its duplication, with a prevalence between 2% and 3%, [ 1 ] and the first report of a duplicate inferior vena cava was made by Lucas in 1916. Currently, systemic venous anomalies are more frequently found in asymptomatic patients due to the extensive use of cross-sectional imaging.…”

Section: Introductionmentioning

confidence: 99%

Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review

et al. 2021

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“…It is the result of the persistence of both postrenal segments of the supracardinal veins 5,6,18 . Others have reported isolated cases of variants in the constitution of the IVC or even to the agenesis of the IVC; this being associated with surgical implications derived from the approaches to the retroperitoneum 7,15,[19][20][21][22] . The case we found corresponds to Type IIb (the type most frequently reported) in the classification proposed by Chen et al 7 Our work is the first, to our knowledge, that reports on the type of the IIV and the morphometry of the posterior extrapelvic tributaries of the IIV.…”

Section: Discussionmentioning

confidence: 99%

Venas extrapélvicas posteriores tributarias de las venas iliacas internas: morfometría, tipos y variantes

Sat-Muñoz¹,

Balderas-Peña²,

Cortes-Torres³

et al. 2020

CIRU

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Background: In the distribution of the veins, it corresponds in the path and by its affluent to their arterial counterpart. For the pelvic surgeon faced with pelvic surgical pathology, the knowledge of the distribution of the venous vessels is especially important in view of novel surgical techniques and current approaches. The majority of the reports are on common iliac vein (CIV) or the inferior vena cava. To the best of our knowledge, there are no papers describing posterior extrapelvic affluents that drain into the internal iliac vein (IIV). Objective: The aim of this work was to describe the pattern of the constitution of the IIV in 17 dissection specimens taken at our institution. Materials and methods: We dissected and registered the anatomic variations of the posterior extrapelvic tributaries to the IIVs. Results: Moreover, we describe the presence of a vein here that is, as far as we know, the first report of a vein that is formed from the posterior extrapelvic veins that drain exactly onto the anterior surface of the CIV. We also describe herein the variants that we have found. Conclusions: The ignorance of the anatomic variations in the posterior extra-pelvic tributaries to the IIVs (internal iliac veins) can lead to fatal consequences in the patients undergoing pelvic surgery.

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“…В норме печеночная артерия обычно возникает из чревного ствола (85 % случаев), но может также возникать непосредственно из аорты или из левой желудочной артерии, верхней брыжеечной артерии (3 % случаев), гастродуоденальной, правой почечной или селезеночной артерий. В связи с интенсивным развитием эндоскопической хирургии, трансплантологии и интервенционной радиологии печени отмечается тенденция к более детальному изучению и описанию строения печеночных артерий [9][10][11][12]. Несмотря на то что большинство из них встречаются чрезвычайно редко, все их необходимо учитывать при планировании и осуществлении интервенционно-радиологических вмешательств.…”

Section: Introductionunclassified

Peculiarities of Extra-Organic Variant Anatomy of the Celiac Trunk and Hepatic Artery in Patients with Liver Cancer

Беседин

Ганцев

Арыбжанов

et al. 2018

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Knowledge of the different variants of the structure of the celiac trunk and the hepatic artery is of great importance in the planning, treatment and choice of approaches for transcatheter vascular interventions.Objective: to study features of variant hematopoietic anatomy from direct and multispiral computed tomography angiography (MSCTA) data in order to determine its significance in routine clinical practice.Materials and methods. We analysed the most common variants of branching of the celiac trunk and anatomy of the hepatic artery according to direct angiography and MSCTA data in 112 patients with primary liver cancer. The sample comprised 71 men (63.3 %) and 41 women (36.7 %).Results and discussion. It was found that the most frequent aberration was the passage of the replacement right hepatic artery from the superior mesenteric artery — type 3 according to N. Michels. The second aberration in terms of frequency was Michels type 2. We describe two unusual celiac trunk and hepatic anatomy variants: the first of these comprising a celiac trunk 22 cm long extending from the superior mesenteric artery; the second consisting in a complete absence of the celiac trunk, with all its elements (left gastric artery, common hepatic artery and splenic artery) departing independently from the abdominal aorta.Conclusions. A typical anatomy of the celiac trunk and hepatic artery was found in 60 % of cases, the most frequent aberration being the Michels type 3, noted in 14.2 % of patients, and type 2 noted in 9.8 % of patients. Knowledge of individual blood supply features largely determines the procedure for conducting operations, permitting purposeful intraoperative revision and the selection of the optimal vascular reconstruction variant, and avoiding damage to aberrant arteries.

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Co-existence of the double inferior vena cava with complex interiliac venous communication and aberrant common hepatic artery arising from superior mesenteric artery: a case report

Abstract: Variations of the arterial and venous system of the abdomen and pelvis have im- (Folia Morphol 2018; 77, 1: 151-155)

Cited by 5 publications

References 20 publications

Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review

Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review

Venas extrapélvicas posteriores tributarias de las venas iliacas internas: morfometría, tipos y variantes

Peculiarities of Extra-Organic Variant Anatomy of the Celiac Trunk and Hepatic Artery in Patients with Liver Cancer

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