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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
Published on: January 13, 2023
Left sided inferior vena cava: a case report
Kimaporn Khamanarong1, Worawut Woraputtaporn, Supawadee Teerakul
1Department of Anatomy, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. kkimap@kku.ac.th
Insights
A rare case of a left-sided inferior vena cava (IVC) was found during cadaver dissection. Preoperative identification of this anatomical variation is crucial for safe laparoscopic surgery.
Area of Science:
- Anatomy
- Vascular Anatomy
- Surgical Anatomy
Background:
- The inferior vena cava (IVC) is a major vein that returns deoxygenated blood from the lower and middle body into the right atrium of the heart.
- Anatomical variations of the IVC can occur, with a left-sided IVC being a rare anomaly.
Observation:
- A dissection survey of 939 embalmed cadavers revealed a case of left-sided IVC in a 65-year-old male donor.
- The left-sided IVC originated posterior to the left common iliac artery at the L5 vertebra and coursed left of the aorta.
Findings:
- The anomalous IVC crossed anterior to the abdominal aorta to reach the right side, receiving the left renal vein at the crossing point.
- The right renal vein drained into the right-sided IVC.
Implications:
- Preoperative diagnosis of a left-sided IVC is essential in the current era of minimally invasive surgery.
- Awareness of this anomaly can prevent surgical complications during laparoscopic procedures, particularly in urology.
Objective:
To report a case of left sided inferior vena cava (IVC).
Material And Method:
The authors carried out the standard dissection survey of939 embalmed cadavers between 1974 and 2008.
Results:
The authors encountered a case of left sided IVC in a male donated cadaver aged 65 years at decease. The IVC formed behind the left common iliac artery at the L5 vertebra and coursed proximally on the left of the aorta until it reached the left renal vein and then crossed anterior to the abdominal aorta to assume the normal right side. At the point of crossing, it received the left renal vein. The right renal vein emptied into the IVC on the right side.
Conclusion:
In the era of laparoscopic urological surgery, preoperative diagnosis of this uncommon but important entity is essential to prevent unwarranted surgical mishaps.
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