Double inferior vena cava with bilateral mild hydronephrosis: a rare case report
Abstract
A 47-year-old female with a history of antiphospholipid syndrome and ischemic stroke was presented to the
emergency department due to abdominal pain and bloody vomiting. Ultrasonography showed double inferior
vena cava and bilateral mild hydronephrosis. Furthermore, the abdominal computed tomography (CT) scan did
not show any evidence of urolithiasis. The ultrasound images of distinctive developmental variations of inferior
vena cava and other veins are important to be known. Vascular anomalies, although rare, should be taken into
account in the differential diagnosis of focal lesions within the abdominal cavity. Double IVC might have been
the cause of hydronephrosis in our patient.
2. Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris JH Jr. Spectrum of congenital anomalies of the inferior vena
cava: cross-sectional imaging findings. Radiographics. 2000;20(3):639–52.
3. Chen H, Emura S, Nagasaki S, Kubo KY. Double inferior vena cava with interiliac vein: a case report and literature review. Okajimas Folia Anat Jpn. 2012;88(4):147–51.
4. Mathews R, Smith PA, Fishman EK, Marshall FF. Anomalies of the inferior vena cava and renal veins: embryologic
and surgical considerations. Urology. 1999;53(5):873-80.
5. Natsis K, Apostolidis S, Noussios G, Papathanasiou E, Kyriazidou A, Vyzas V. Duplication of the inferior vena cava: anatomy, embryology and classification proposal. Anat Sci Int. 2010;85(1):56-60.
6. Hashmi ZA, Smaroff GG. Dual inferior vena cava: two inferior vena cava filters. The Ann Thorac Surg. 2007;84(2):661-3.
7. Saad KR, Saad PF, Amorim CA, Armstrong D, de Freitas Soares BL, Neves PC, et al. Duplication of the inferior vena cava: case report and a literature review of anatomical variation. J Morphol Sci. 2017;29(1):60-4.
8. Evans JC, Earis J, Curtis J. Thrombosed double inferior vena cava mimicking paraaortic lymphadenopathy. Br J Radiol. 2001;74(878):192-4.
9. Gayer G, Luboshitz J, Hertz M, Zissin R, Thaler M, Lubetsky A, et al. Congenital anomalies of the inferior vena cava revealed on CT in patients with deep vein thrombosis. Am J Roentgenol. 2003;180(3):729-32.
10. Wang LT, Lo HC, Yu DS, Sun GH, Wu CC, Fong CJ. Ureteral obstruction caused by a duplicated anomaly of inferior
vena cava. Int J Urol. 2005;12(9):842-4.
Files | ||
Issue | Vol 6 No 2 (2022): Spring (April) | |
Section | Case (report / study) | |
DOI | 10.18502/fem.v6i2.8722 | |
Keywords | ||
Anatomical Variation Inferior Vena Cava Emergency Department Ultrasound |
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