A Rare Variation: Duplication of Inferior Vena Cava

Year 2022, Volume: 2 Issue: 2, 97 - 101, 21.12.2022

Sıddıka Halıcıoğlu Saadet Erdem

Abstract

Duplicated inferior vena cava is a rare congenital vascular anomaly. According to the literature, its incidence is between 0.2% and 3% and it is usually asymptomatic. Here, we will present the duplicated inferior vena cava, which was seen incidentally on computerized tomography images of two male patients, one 32 years old with lumbar vertebral fracture and the other 50 years old with lumbar disc herniation.
Knowledge of vascular anatomical variations is very important in preventing vital complications after retroperitoneal surgeries, venous interventional radiological procedures, deep vein thrombosis management and incomplete lymph node dissection.

Keywords

Congenital vascular anomaly, Duplication, İnferior vena cava, Rare variation

Project Number

Yok

Nadir Bir Varyasyon: Vena Cava İnferior Duplikasyonu

Abstract

Vena cava inferior duplikasyonu nadir görülen konjenital vasküler bir anomalidir. Literatüre göre görülme sıklığı %0,2- %3 arasındadır ve genellikle asemptomatiktir.
Burada biri 32 yaşında lomber vertebra kırığı, diğeri 50 yaşında lomber disk hernisi nedeni ile bilgisayarlı tomografi çekilen iki erkek hastada rastlantısal olarak görülen vena cava inferior duplikasyonu sunulacaktır.
Vasküler anatomik varyasyonların bilinmesi venöz girişimsel radyolojik işlemler, derin ven trombozu yönetimi, incomplet lenf nodu diseksiyonu ve retroperitoneal cerrahiler sonrası hayati komplikasyonları önlemede oldukça önemlidir.

Keywords

Duplikasyon, Konjenital vasküler anomali, Nadir varyasyon, Vena cava inferior

Supporting Institution

Yok

Project Number

Yok

References

• 1. Arıncı K, Elhan A. Anatomi. Güneş Tıp Kitapevleri.6. Baskı, 2.cilt, 2016, 96-97.
• 2. Li SJ, Lee J, Hall J, Sutherland TR. The inferior vena cava: anatomical variants and acquired pathologies. Insights into Imaging, 12: 2021, 123: 1-22. https://doi.org/10.1186/s13244-021-01066-7
• 3. Cheung K, Wong E. Duplicated Inferior Vena Cava in a Patient With Ampullary Adenocarcinoma: A Case Report and Literature Review of Anatomical Variations. Cureus. 2020, 12(11): e11576. DOI 10.7759/cureus.11576
• 4. Natsis K, Apostolidis S, Noussios G, Papathanasiou E, Kyriazidou A, Vyzas V. Duplication of the inferior vena cava: anatomy, embryology and classifcation proposal. Anat Sci Int. 85(1): 2010, 56–60.
• 5. Shin DS, Sandstrom CK, Ingraham CR, Monroe EJ, Johnson GE. The inferior vena cava: a pictorial review of embryology, anatomy, pathology, and interventions. Abdom Radiol. 44(7): 2019, 2511–2527.
• 6. Shaheen S, Alyahya KI, El Fouhil AF. An extremely rare complete bilateral duplication of Inferior vena cava in a male cadaver: anatomy, embryology and clinical relevance. Folia Morphol (Warsz), 2021. https://doi.org/10.5603/FM.a2021.0016
• 7. Petik B. Inferior vena cava anomalies and variations: imaging and rare clinical fndings. Insights Imaging 6(6): 2015, 631–639.
• 8. Wasniewska A, Ruzik K, Olewnik L, Stefanczyk L, Polguj M. Unusual coexistence of double inferior vena cava with nutcracker syndrome– a case report and review of the literatüre. Journal of International Medical Research. 48(2); 2020, 1–9.
• 9. Pineda D, Moudgill N, Eisenberg J, DiMuzio P, Rao A. An interesting anatomic variant of inferior vena cava duplication: case report and review of literature. Vascular. 21: 2013, 163-167, doi: 10.1177/1708538113478731
• 10. Condıt D, Madgula AS, Covello B, Kaur A. Duplıcate ınferıor vena cava as a potentıal pathway for recurrent pulmonary embolısm. CHEST 2020 Annual Meeting Abstracts. 2020. https://doi.org/10.1016/j.chest.2020.08.1821
• 11. Evans JC, Earis J, Curtis J. Thrombosed double IVC mimicking paraaortic lymphadenopathy. Br J Radiol. 74 (878): 2001, 192-4.
• 12. Tisnado J, Amendola MA, Vines FS. Computed tomography of a double ınferior vena cava: the "double cava" sign. Comput Radiol. 3: 195, 1979.
• 13. Türkoglu S, Bedel C. Duplication Of The İnferior Vena Cava: A Rare Case. Med J West Black Sea. 3(2): 2019, 66-69.
• 14. Patel HR, Rampal U, Vasudev R, et al. Recurrent pulmonary embolısm: duplıcate ınferıor vena cava (ıvc) the culprıt. JACC. Volume 71, Issue 11, 2018.
• 15. Levack MM, Keshavamurthy S, Schoenhagen P, Johnston DR. Management of a duplicated inferior vena cava in thoracoabdominal aortic aneurysm repair. The Journal of Thoracic and Cardiovascular Surgery. 153 (3); 2016, 39-41.
• 16. Kennealey P T, Saidi RF, Markmann JF, Ko DSC, Kawai T, Yeh H. Duplicated Inferior Vena Cava—Something to Consider in the Evaluation of a Living -Donor Renal Transplant. Dialysis & Transplantation, 2009. DOI: 10.1002/dat.20363