Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report

Prete, Alessandra Del; Cavaliere, Carlo; Pietto, Francesco Di; Ritis, Rosaria De

doi:10.1007/s00276-015-1454-3

Cited by 10 publications

(9 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although SIT is not a contraindication to surgical treatment, it can be associated with splenic abnormalities or other mutations, among which vascular malformations are most likely. 7,8 When surgical treatment is scheduled for patients with SIT, relevant radiological examinations are required. It is best to determine whether there are related anatomical variations before performing invasive procedures.…”

Section: Discussionmentioning

confidence: 99%

Oblique lateral interbody fusion to treat lumbar spinal stenosis in a patient with situs inversus totalis: a case report

et al. 2021

View full text Add to dashboard Cite

Oblique lateral interbody fusion (OLIF) is a minimally invasive spinal surgery that is popular for lumbar degeneration and spinal deformity treatment because it causes minimal damage to the stability of the intervertebral structures. However, when encountering abnormal anatomical structures caused by situs inversus, surgical routes must be adjusted to avoid serious complications. A 42-year-old woman with lumbar spinal stenosis presented to our hospital. Preoperative X-ray and computed tomography indicated situs inversus totalis, with the abdominal aorta and inferior vena cava reversed. We established an appropriate surgical approach for OLIF via the right abdomen according to the characteristics of the anatomical structures. Postoperative X-rays showed adequate positioning of the interbody fusion cage and internal fixation screws. At the 3-month follow-up, the patient reported resolution of her symptoms. Vascular variations caused by situs inversus totalis can affect the course of OLIF. Understanding the unique anatomical structure in such patients is crucial for successful surgery and to avoid intraoperative complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Oblique lateral interbody fusion to treat lumbar spinal stenosis in a patient with situs inversus totalis: a case report

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Further IVC anomalies seems to induce a predisposition to deep vein thrombosis, pulmonary thromboembolism, and renal veins thrombosis, causing pressure increasing in venous vascular tree [11], [12], [13], [16], [17], [18], and while these vascular malformations are rarely associated with thrombosis of the iliac and femoral veins, especially in young patients, these have been recognized as a possible risk factors for deep vein thrombosis. An interrupted IVC may cause increase blood pressure in the lower extremity veins in the presence of insufficient collateral vessels; eventually venous stasis predisposes to deep vein thrombosis and to PTE [17].…”

Section: Discussionmentioning

confidence: 99%

Azygos and hemiazygos continuation: An occasional finding in emergency department

Mandato¹,

Pecoraro²,

Gagliardi

et al. 2019

Radiology Case Reports

View full text Add to dashboard Cite

Interruption of the inferior vena cava (IVC) with azygos continuation is a rare congenital anomaly, in which the IVC is interrupted below the hepatic vein and venous return beyond this point is restored by the dilated azygos and hemiazygos veins draining into the superior vena cava. A case of the interruption of the IVC with azygos/emyazygos continuation for the absence of the hepatic segment of IVC, left renal vein duplication, and polysplenia is reported. The embryologic, clinical, and radiological significance are discussed. The diagnosis is suggested by X-ray, but contrast-enhanced multidetector computed tomography is the method of choice to diagnose this venous anomaly and reveals the aberrant vascular structures. Awareness of different congenital anomalies of IVC is important to surgeons and cardiologists and is necessary for radiologists to avoid diagnostic pitfalls and for preoperative planning: they should be remembered because they can influence several surgical interventions and endovascular procedures. Accidental ligation of the azygos vein is fatal and cardiac catheterization using the lower extremity vein is troublesome in patients with this condition.

show abstract

“…We observed interrupted inferior vena cava with the absence of the hepatic segment and azygos vein continuation. There are case reports of associated interruption of inferior vena cava and SIT, but this is an uncommon condition [14,15]. The portal vein had a preduodenal course.…”

Section: Discussionmentioning

confidence: 99%

Colorectal Carcinoma in a Patient with Situs Inversus Totalis

Simu

Jung

Bara

et al. 2017

Acta Medica Marisiensis

View full text Add to dashboard Cite

Introduction: Colorectal cancer is one of the most common types of malignant tumors worldwide. In patients with situs abnormalities such as situs inversus totalis or situs ambiguus, the presence of this tumor could be a challenge for the surgeon, especially in cases in which the laparoscopic approach is considered. Case presentation: We report the case of a 69-year-old male patient with situs inversus totalis. This particular case of situs inversus totalis was not a classical type because the patient had bilateral bilobed lungs, polysplenia, preduodenal portal vein in association with midgut malrotation. The pathology report after surgery revealed moderately differentiated adenocarcinoma of the sigmoid colon, stage pT3 N1c M1a, liver metastases but without metastases in the eight resected lymph nodes. We compared this rare association of diseases of particular anatomic aspects with other reports in the specialty literature. Conclusion: The identification of situs abnormalities or other malformations in patients with resectable colorectal cancer is essential, thus preoperative imaging studies are imperative for a proper surgical management. Colorectal cancer metastasizing patterns in patients with intestinal malrotation need to be further investigated.

show abstract

Situs inversus with levocardia, infrahepatic interruption of the inferior vena cava, and azygos continuation: a case report

Cited by 10 publications

References 7 publications

Oblique lateral interbody fusion to treat lumbar spinal stenosis in a patient with situs inversus totalis: a case report

Oblique lateral interbody fusion to treat lumbar spinal stenosis in a patient with situs inversus totalis: a case report

Azygos and hemiazygos continuation: An occasional finding in emergency department

Colorectal Carcinoma in a Patient with Situs Inversus Totalis

Contact Info

Product

Resources

About