Left-Sided Inferior Vena Cava with Pancreatic Head Cancer: A Case Report
Published: 2021-05-04
Page: 315-318
Issue: 2021 - Volume 4 [Issue 1]
Khalid Elhattabi
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Mounir Bouali
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Karim Yaqine
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Nassima Fakhiri
*
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Fatimazahra Bensardi
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Abdelilah Elbakouri
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
Abdelaziz Fadil
Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Transposition of the inferior vena cava (IVC) is a congenital anomaly of the great vessels. Left IVC is a rare malformation, it is observed in about 0.04% to 0.5% of the population.
Presentation of Case: We report the case of a 64-year-old patient, with no particular pathological antecedent, who presented a tumor of the head of the pancreas and whose radiological examinations had shown the presence of the tumor with a left variant of the inferior vena cava.
Discussion: Left transposition of the IVC can be described as a "mirror image" of the normal IVC It is secondary to a disturbance of the venous development process and is often discovered incidentally during radiological examinations. CT scan is the examination of choice to detect these vascular variations with a sensitivity and specificity for arterial anomalies of 91.6 to 98.2% and venous anomalies of 96.7 to 90% respectively.
Conclusion: It must be reported by radiologists in order to avoid hemorrhagic complications during any surgery of the retroperitoneal space.
Keywords: Left-sided inferior vena cava, pancreatic head cancer, congenital anomaly, CT scan, case report