Konishi T, Pak K, Takayama H, Tomoyoshi T, Okino K, Nakane Y
Department of Urology, Shiga University of Medical Science.
Hinyokika Kiyo. 1987 Dec;33(12):2111-4.
A case of left inferior vena cava, in a 35-year-old woman, discovered by chance at nephrectomy for renal transplantation is reported. She was admitted to our hospital as a donor of the kidney to her son. She had no remarkable physical signs on chest or abdomen. All laboratory tests were within normal limits. Intravenous pyelogram showed no major abnormality except for the lower position of left kidney than right one. Abdominal aortogram and selective renal arteriogram revealed no abnormality. Bilateral renal arteries were single. Left nephrectomy for transplantation was performed on April 13, 1983. In this operation the left sided inferior vena cava was discovered by chance. Inferior vena cavography was taken postoperatively. It showed the left sided inferior vena cava, type C. Knowledge of the abnormalities of the left renal vein and inferior vena cava is of surgical importance for the urologist when renal transplantation is being considered.
本文报告了一例35岁女性左位下腔静脉病例，该病例在肾移植肾切除术时偶然被发现。她作为肾脏供体被收治入院，准备将肾脏捐献给她的儿子。其胸部和腹部无明显体征。所有实验室检查结果均在正常范围内。静脉肾盂造影显示除左肾位置低于右肾外无重大异常。腹主动脉造影和选择性肾动脉造影未发现异常。双侧肾动脉均为单支。1983年4月13日进行了移植用左肾切除术。在此手术中偶然发现了左侧下腔静脉。术后进行了下腔静脉造影。结果显示为C型左侧下腔静脉。在考虑肾移植时，了解左肾静脉和下腔静脉的异常情况对泌尿外科医生具有手术重要性。
