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Veins of the Abdomen and Pelvis01:18

Veins of the Abdomen and Pelvis

The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Overview of Systemic Veins01:11

Overview of Systemic Veins

Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the middle...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Veins of Thorax01:19

Veins of Thorax

The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...

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Related Experiment Video

Updated: Jun 4, 2026

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
06:59

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava

Published on: January 13, 2023

Preaortic left primitive iliac vein: two case studies.

Badre Rhissassi1, Amine Bahnini, Edouard Kieffer

  • 1Service de Chirurgie Vasculaire, CHU Pitié-Salpêtrière, Paris, France. edouard.kieffer@psl.aphp.fr

Annals of Vascular Surgery
|February 15, 2011
PubMed
Summary

Congenital abnormalities of the inferior vena cava (IVC) are rare but can cause severe bleeding during surgery. This study details two rare cases of preaortic left primitive iliac vein, highlighting its surgical implications.

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Last Updated: Jun 4, 2026

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Area of Science:

  • Vascular Surgery
  • Anatomical Variations
  • Medical Imaging

Background:

  • Congenital anomalies of the inferior vena cava (IVC) are uncommon but pose significant risks during surgical procedures, particularly aortoiliac surgery.
  • Common IVC variations include double IVC, left-sided IVC, and retroaortic renal veins, which can form a periaortic venous collar.
  • The preaortic primitive iliac vein is an exceptionally rare anomaly with limited documented cases in existing literature.

Observation:

  • This study presents two distinct cases of the rare preaortic left primitive iliac vein.
  • The first case involved a male patient undergoing surgery for an aortobiiliac aneurysm.
  • The second case involved a female patient treated for interaortocaval lymphadenopathy secondary to ovarian cancer treatment.

Findings:

  • The presence of a preaortic left primitive iliac vein was confirmed in both patients.
  • These cases underscore the variability and potential for rare anatomical variations in the iliac venous system.
  • The anomaly was identified in the context of unrelated surgical interventions, suggesting it may often be an incidental finding.

Implications:

  • Awareness of this rare anomaly is crucial for vascular surgeons to prevent intraoperative hemorrhage and ensure patient safety during aortoiliac procedures.
  • Preoperative imaging and careful surgical planning are essential when encountering or suspecting such venous variations.
  • Further research into the embryological origins and clinical significance of the preaortic primitive iliac vein may improve diagnostic and therapeutic strategies.