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双下腔静脉伴三处分流:一种对外科医生有重要影响的罕见异常情况。

Double inferior vena cava with three shunts: a rare anomaly with important implications for surgeons.

作者信息

Chaijaroonkhanarak W, Pannangrong W, Welbat J Umka, Namking M, Khamanarong K, Prachaney P

机构信息

Department of Anatomy, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, Thailand.

出版信息

Folia Morphol (Warsz). 2017;76(2):307-311. doi: 10.5603/FM.a2016.0076. Epub 2016 Dec 27.

DOI:10.5603/FM.a2016.0076
PMID:28026845
Abstract

Inferior vena cava (IVC) is the largest single vein that collects systemic venous blood from the lower part of the body except the gut and drains into the right atrium. Double IVC is a rare anomaly in humans and usually is discovered incidentally during the interventional radiological procedures or routine cadaveric dissection. Here we report a rare case of unusual observations in an adult female Thai cadaver with a duplicated left IVC with three short venous shunts and a variant pattern of the hemiazygos vein. Also included in this case was the presence of unilateral double renal vein on the right kidney. This type of anatomic variation of the great vein has never been reported before. A detailed description of these variations is useful and essential for the surgeons during approaching the retroperitoneal region.

摘要

下腔静脉(IVC)是收集除肠道外身体下部体循环静脉血并排入右心房的最大单一静脉。双下腔静脉在人类中是一种罕见的异常情况,通常在介入放射学检查或常规尸体解剖过程中偶然发现。在此,我们报告一例罕见病例,在一名成年泰国女性尸体中观察到异常情况,即左侧下腔静脉重复出现,伴有三条短静脉分流以及半奇静脉的变异模式。该病例还包括右肾存在单侧双肾静脉。这种大静脉的解剖变异类型此前从未有过报道。这些变异的详细描述对外科医生在处理腹膜后区域时非常有用且至关重要。

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引用本文的文献

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Retroperitoneal lymphoma with double inferior vena cava shown using a 3D visualization model: A case report and literature review.使用三维可视化模型显示的伴有双下腔静脉的腹膜后淋巴瘤:一例报告及文献复习
Exp Ther Med. 2023 Feb 20;25(4):156. doi: 10.3892/etm.2023.11855. eCollection 2023 Apr.
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Duplication of the inferior vena cava: a case series.下腔静脉重复畸形:病例系列。
J Int Med Res. 2022 May;50(5):3000605221100771. doi: 10.1177/03000605221100771.
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Blunt Abdominal Trauma Leading to an Incidental Finding of Duplicate Inferior Vena Cava (DIVC): A Case Report and Literature Review.
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Am J Case Rep. 2021 Jun 1;22:e929198. doi: 10.12659/AJCR.929198.