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Discovery of vascular transposition during gastrectomy
Bachar Amine1, Fakhiri Nassima1, Eddaoudi Yassine1
1Visceral Surgery Department, University Hospital Center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
International Journal of Surgery Case Reports
|November 26, 2022
Summary
A rare congenital vascular anomaly, left inferior vena cava (LIVC) with a right-sided aorta, was incidentally discovered during gastric adenocarcinoma surgery. Awareness of this anatomical variant is crucial for surgical planning and avoiding intraoperative complications.
Area of Science:
- Vascular Surgery
- Surgical Anatomy
- Gastrointestinal Oncology
Background:
- Congenital anomalies of great vessels, including left inferior vena cava (LIVC) and right-sided aorta, are rare but significant in visceral, urological, and vascular surgeries.
- These anatomical variations can pose challenges during surgical procedures, necessitating thorough preoperative evaluation.
Observation:
- A case of incidental discovery of a left inferior vena cava (LIVC) and right-sided aorta during a gastrectomy for gastric adenocarcinoma.
- The patient presented with hematemesis and was diagnosed with a gastric adenocarcinoma with an isolated cell component.
Findings:
- Intraoperative identification of a left inferior vena cava (LIVC) and right-sided aorta in a patient undergoing total gastrectomy.
- Postoperative CT scan confirmed the presence of this rare vascular transposition, highlighting its incidental nature.
Implications:
- Knowledge of rare vascular anomalies like left inferior vena cava (LIVC) and right-sided aorta is essential for surgeons to prevent intraoperative surprises.
- Preoperative radiological assessment is critical for identifying such variants, ensuring patient safety and optimal surgical outcomes.
