Variant Iliocaval Confluence Discovered During Sacrocolpopexy

Abstract

With pelvic reconstructive surgery becoming more commonplace, knowledge of possible anomalous vessels is important because modification of planned surgical approach may be necessary to avoid short-term and long-term complications.

Laparoscopic lateral suspension for pelvic organ prolapse in a case with difficulty in performing laparoscopic sacrocolpopexy

“…Lazarou et al . reported a case in which it was impossible to fix the mesh to the promontory during abdominal sacrocolpopexy because of anatomic variation of the iliac veins . These findings indicate that difficulty in mesh fixation at the promontory may not be rare in LSC.…”

Anticipating Pitfalls in Surgery

“…1 In this case, the anomalous iliocaval drainage increased the risks to the patient. Yet, there are certain situations when a surgeon encounters an unexpected finding, either during surgery, or in the postoperative period.…”