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Right Double Inferior Vena Cava (IVC) with Preaortic Iliac Confluence ? Case Report and Review of Literature

机译:右前下Double合的双下腔静脉(IVC)吗?病例报告及文献复习

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Anomalies of the inferior vena cava (IVC) are uncommon and most of them remain asymptomatic. Though rare, anomalies of IVC can lead to severe hemorrhagic complications especially during aortoiliac surgery. Prior knowledge of these variations facilitates proper interpretation of radiological images and safe performance of interventional procedures and surgeries. During routine anatomical dissection of abdomen in a female cadaver we observed the presence of right sided duplication of IVC. Both IVCs were present on the right side of abdominal aorta, one ventral and the other more dorsal in position and named ventral right IVC and dorsal right IVC. The ventrally and medially placed IVC, which appeared to be the main IVC was formed by the union of two common iliac veins in front of the right common iliac artery (Preaortic iliac confluence-?Marsupial Cava?). The right external iliac vein continued as the more dorsally and laterally placed dorsal right IVC. The right internal iliac vein after receiving a transverse anastomotic vein from the external iliac continued as the right common iliac vein. This transverse anastomosis was present behind the right common iliac artery. The narrower dorsal right IVC joined the wider ventral right IVC just below the level of renal veins to form a single IVC. The abdominal aorta presented a convexity to the left.
机译:下腔静脉(IVC)的异常并不常见,并且大多数仍无症状。尽管很少见,但IVC异常会导致严重的出血并发症,尤其是在主动脉手术期间。这些变化的先验知识有助于放射影像的正确解释以及介入手术和手术的安全执行。在女性尸体的腹部常规解剖中,我们观察到了IVC右侧重复的存在。这两个IVC均位于腹主动脉的右侧,一个腹侧,另一个位于背侧,分别命名为腹右IVC和背右IVC。腹侧和内侧放置的IVC,似乎是主要的IVC,是由右common总动脉前的两条common总静脉联合形成的(主a前汇合-“有袋静脉”)。 right外右静脉继续向右和背侧放置更多的右背静脉。从receiving外接受横吻合静脉后,右internal内静脉继续作为右common总静脉。该横向吻合位于右common总动脉后面。较窄的背侧右IVC与较宽的腹侧右IVC恰好在肾静脉水平以下,形成单个IVC。腹主动脉向左侧凸出。

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