Bilateral duplicated inferior vena cava associated with aberrant internal iliac and gonadal veins : A case-based narrative review

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BACKGROUND: The left side anterior retroperitoneal approach is preferred for the management of lumbosacral spine disorders as there is reduced risk for vascular injury. The presence of multiple and uncommon venous variations on either side of the spine, like the bilateral duplicated inferior vena cava (DIVC), may complicate surgery in this region. The current study describes two rare cases of bilateral duplicated inferior vena cava associated with internal iliac and gonadal veins.

METHODS: The cases were identified during routine human dissections of the posterior abdominal wall of 89 (45 males, 44 females) individuals. The course, relations and morphometry of each duplicated inferior vena cava were examined and recorded.

RESULTS: Two (2.2%) of the 89 (1 male, 1 female) dissected individuals showed the presence of bilateral duplicated infrarenal segments of the inferior vena cava. In both cases, the pre-aortic trunk (vein) was the largest and the left inferior vena cava was the smallest. Both cases of bilateral DIVC presented with anomalous interiliac communicating veins, internal iliac veins, and drainage sites of the left gonadal veins.

CONCLUSIONS: The duplicated inferior vena cava may present with associated venous anomalies like those related to the gonadal and internal iliac veins. Knowledge of the duplicated inferior vena cava and its associated venous anomalies may be essential for accurately identifying and diagnosing vascular dysfunction and improving radiological interpretation across multiple surgical specialities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:253

Enthalten in:

Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft - 253(2024) vom: 20. März, Seite 152223

Sprache:

Englisch

Beteiligte Personen:

Manjatika, Arthur Tsalani [VerfasserIn]
Mazengenya, Pedzisai [VerfasserIn]
Davimes, Joshua Gabriel [VerfasserIn]

Links:

Volltext

Themen:

Anatomy
Case Reports
Inferior vena cava
Journal Article
Posterior abdominal wall
Retroperitoneal space
Review
Variability
Venous anomalies
Venous thrombosis

Anmerkungen:

Date Completed 18.03.2024

Date Revised 18.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.aanat.2024.152223

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367979594