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下腔静脉异常的一种罕见变异:双下腔静脉伴肝后段中断且左右下腔静脉均延续至奇静脉。

A rare variant of inferior vena cava anomalies: Double IVC with retrohepatic interruption and azygos continuation of both right and left IVCs.

作者信息

ElAitari Khadija, Lrhorfi Najlae, Sqalli Houssaini Yahya, Maslouhi Kaoutar, Allali Nazik, Chat Latifa

机构信息

Department of Radiology, Rabat Children's Hospital, University Mohammed V of Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Jul 4;20(9):4802-4806. doi: 10.1016/j.radcr.2025.05.112. eCollection 2025 Sep.

DOI:10.1016/j.radcr.2025.05.112
PMID:40686797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12272830/
Abstract

Congenital anomalies of the inferior vena cava (IVC) result from complex embryological development and can include rare variations such as duplication of the IVC and interruption of the retro hepatic segment with azygos continuation. We present a case of a double IVC associated with agenesis of the retro hepatic segment and azygos continuation. Although these anomalies are generally asymptomatic, they can predispose to the occurrence of deep vein thrombosis. Modern imaging, particularly computed tomography (CT), plays a crucial role in their detection and characterization. A thorough understanding of these variations is essential for adapting clinical management and avoiding complications during surgical interventions or endovascular procedures.

摘要

下腔静脉(IVC)先天性异常源于复杂的胚胎发育过程,可包括一些罕见的变异情况,如下腔静脉重复畸形以及肝后段中断并奇静脉延续。我们报告一例双下腔静脉合并肝后段缺如及奇静脉延续的病例。尽管这些异常通常无症状,但它们可能易引发深静脉血栓形成。现代影像学检查,尤其是计算机断层扫描(CT),在其检测和特征描述中起着关键作用。全面了解这些变异对于调整临床管理以及避免手术干预或血管内操作过程中的并发症至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/a65dd7a38b6a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/aa752a3f290a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/e6fcd6b6bfd7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/baa71dd681d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/a65dd7a38b6a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/aa752a3f290a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/e6fcd6b6bfd7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/baa71dd681d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a7/12272830/a65dd7a38b6a/gr4.jpg

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本文引用的文献

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Exceedingly rare incidence of a double inferior vena cava (IVC) with azygos continuation of left IVC.极为罕见的双下腔静脉(IVC)伴左IVC奇静脉延续的情况。
Clin Case Rep. 2024 May 23;12(6):e8981. doi: 10.1002/ccr3.8981. eCollection 2024 Jun.
2
Double Inferior Vena Cava with Azygos Continuation and Retroaortic Left Renal Vein Associated with Juxtarenal Abdominal Aortic Aneurysm Surgery.双下腔静脉伴奇静脉延续及主动脉后左肾静脉与肾旁腹主动脉瘤手术相关
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双下腔静脉伴肝内中断、半奇静脉延续及肝内静脉分流
Vasc Endovascular Surg. 2017 Jan;51(1):38-42. doi: 10.1177/1538574416687734.
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Inferior Vena Cava Duplication: Incidental Case in a Young Woman.下腔静脉重复畸形:一名年轻女性的偶然病例。
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Duplication of the inferior vena cava with azygos continuation, retroaortic left renal vein and iliac vein variations.下腔静脉重复畸形伴奇静脉延续、主动脉后左肾静脉及髂静脉变异。
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