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Duplication of the inferior vena cava associated with other variations
Hao-Gang Xue1, Chun-Ying Yang, Mitsuo Asakawa
1Department of Anatomy and Neurobiology, Nippon Medical School, Tokyo, Japan. xuehg@nms.ac.jp
Insights
This study details rare vascular anomalies found in a cadaver, including duplicated inferior vena cava, double renal arteries, and unusual testicular vessel patterns. These anatomical variations highlight the importance of detailed dissection in understanding human circulatory system diversity.
Area of Science:
- Anatomy
- Vascular Biology
- Medical Imaging
Background:
- The retroperitoneal region contains critical vascular structures, including the inferior vena cava, renal arteries, and testicular vessels.
- Anatomical variations in these vessels can impact surgical procedures and diagnostic interpretations.
- Understanding these variations is crucial for accurate medical practice.
Observation:
- Dissection of an 87-year-old Japanese male cadaver revealed multiple vascular anomalies.
- Observed variations included duplication of the inferior vena cava (IVC), bilateral double renal arteries, and complex testicular vasculature.
- Specific findings included a unique IVC formation from interiliac vein confluence and dual venous trunks for both right and left testicular veins.
Findings:
- The duplicated inferior vena cava exhibited right and left components of nearly equal width.
- Bilateral double renal arteries originated from the abdominal aorta.
- The testicular arteries arose from the inferior renal arteries, with unique drainage patterns into the renal veins and IVC confluence.
Implications:
- These detailed anatomical findings contribute to the existing knowledge of human vascular variations.
- Awareness of such anomalies is vital for surgeons performing retroperitoneal procedures to prevent complications.
- This case underscores the importance of thorough pre-operative imaging and intra-operative vigilance.
Abstract:
Multiple vascular variations, including duplication of the inferior vena cava, double renal arteries and anomalies of the testicular blood vessels, were observed during dissection of the retroperitoneal region of a cadaver of an 87-year-old Japanese man. The right inferior vena cava arose from the union of right common iliac veins and a thinner interiliac vein. This interiliac vein ascended obliquely from right to left and joined the left common iliac veins to form the left inferior vena cava. The right and left inferior venae cavae were of approximately equal width. The right testicular vein consisted of medial and lateral venous trunks. The two venous trunks coalesced to form a single vein, which drained into the confluence of the right inferior vena cava and right renal vein. The left testicular vein was composed of the medial and lateral testicular veins, which drained into the left renal vein. Double renal arteries were seen bilaterally, which originated from the lateral aspects of the abdominal aorta. The right testicular artery arose from the right inferior renal artery and accompanied the lateral trunk of the right testicular vein running downwards. The left testicular artery arose from the ipsilateral inferior renal artery and ran downwards accompanied by the left lateral testicular vein. In addition, the bilateral kidneys showed multicystic changes.
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