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Anomalous inferior vena cava in association with omphalocele: a case report
E E Antoniou1, S Matsuoka, K Mori
1Department of Pediatrics, School of Medicine, University of Tokushima, Japan.
Insights
This case study highlights a rare anomalous inferior vena cava in a pediatric patient with omphalocele. Cine-MRI effectively diagnosed complex venous malformations, crucial for surgical planning.
Area of Science:
- Pediatric Cardiology
- Medical Imaging
- Congenital Malformations
Background:
- A 6-year-old boy with a history of omphalocele repair presented with a secundum atrial septal defect.
- He exhibited an unusual anomalous inferior vena cava, previously undocumented.
- This case underscores the complexity of congenital anomalies in patients with omphaloceles.
Observation:
- Cine-magnetic resonance imaging (MRI) was employed as a noninvasive diagnostic method.
- The imaging identified an anomalous subaortic innominate vein.
- Four immature vessels contributing to lumbar region venous drainage were also visualized.
Findings:
- The study details a unique type of anomalous inferior vena cava.
- Cine-MRI proved effective in delineating complex venous anatomy.
- The findings emphasize the presence of multiple, immature vessels in the venous system.
Implications:
- Accurate diagnosis of such venous malformations is critical for surgical planning.
- Understanding these anomalies is essential for successful cardiac catheterization procedures.
- This knowledge aids in optimizing postoperative care for patients with omphaloceles.
Abstract:
We present the case of a 6-year-old boy who had an omphalocele repaired at day 1 of life. He had a secundum atrial septal defect and an anomalous inferior vena cava of a type which has not been previously reported. Cine-MRI was a useful noninvasive tool for diagnosing the anomalous subaortic innominate vein and four immature vessels which make up the venous drainage systems of the lumbar region. The recognition of this malformation is important in planning and executing surgical repair or cardiac catheterization for postoperative patients with omphaloceles.