Asian Journal of Case Reports in Surgery

A Case of Double Inferior Vena Cava: A Case Report

Ezura Yusof *

Department of General Surgery, Sultan Ahmad Shah Medical Centre @ IIUM, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, 25200 Kuantan, Pahang, Malaysia.

Salina Aziz

Department of General Surgery, Hospital Tengku Ampuan Afzan Jalan Tanah Putih, 25100 Kuantan, Pahang, Malaysia.

*Author to whom correspondence should be addressed.

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Abstract

The incidence of double inferior vena cava (IVC) ranges from 0.2% to 3%. Most of the cases of double IVC are diagnosed incidentally from imaging given it has a lack of symptoms and clinical findings. Embryogenesis of IVC is very complicated hence predisposing to diverse anomalies. These anomalies are usually of no clinical significance however may predispose to thromboembolism likely due to venous stasis. The abnormal vessels also can be misdiagnosed as masses which can cause massive haemorrhage if mismanaged. In this report, we present a 14 years old boy, who was incidentally diagnosed to have double IVC from computed tomography (CT) done for other reasons.

Keywords: Inferior vena cava, duplications, anomalies, CT scan

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References

Lucas MF. A case of double inferior vena cava, Journal of Anatomy. 1916;51:69–70. View at: Google Scholar

Banerjee A, Maharana S, Kumar IA, Jhansi P. Duplication of the inferior vena cava-report of a rare congenital variation, International Journal of Anatomical Variations. 2012;5:141–143. View at: Google Scholar

Natsis K, Apostolidis S, Noussios G, Papathanasiou E, Kyriazidou A, Vyzas V. Duplication of the inferior vena cava: Anatomy, embryology, classification proposal, Anatomical Science International. 2010;85(1):56– 60. View at: Publisher Site | Google Scholar

Chen H, Emura S, Nagasaki S, Kubo K-Y. Double inferior vena cava with interiliac vein: A case report and literature review, Okajimas Folia Anatomica Japonica. 2012;88(4):147–151. View at: Publisher Site | Google Scholar

Babaian RJ, Johnson DE. Major venous anomalies complicating retroperitoneal surgery, Southern Medical Journal. 1979;72(10):1254–1258. View at: Publisher Site | Google Scholar

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):873–880. View at: Publisher Site | Google Scholar

Cizginer S, Tatli S, Girshman J, et al. Thrombosed interrupted inferior vena cava and retro aortic left renal vein mimicking a retroperitoneal neoplasm. Abdom Imaging. 2007;32:403–406. [PubMed] [Google Scholar]

Sartori MT, Zampieri P,res AL, et al. Double vena cava filter insertion in congenital duplicated inferior vena cava: A case report and literature review. Haematologica. 2006;91:ECR30. [PubMed] [Google Scholar]

Kouroukis C, Leclerc JR. Pulmonary embolism with duplicated inferior vena cava. Chest. 1996;109: 1111–1113.

[PubMed] [Google Scholar]