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成人腹膜后间隙血管异常伴下腔静脉重复畸形:一例报告

An abnormal pattern of blood vessels in the retroperitoneal space with a duplicated inferior vena cava in an adult: a case report.

作者信息

Wagner J, Bogusch G

机构信息

Institut für Anatomie, Freie Universität Berlin, Germany.

出版信息

Surg Radiol Anat. 1993;15(3):201-5. doi: 10.1007/BF01627706.

DOI:10.1007/BF01627706
PMID:8235963
Abstract

During dissection a duplicated inferior vena cava (IVC) was found in an 82 year-old male. The IVCs were connected with each other by two anastomoses. The course of the other retroperitoneal veins also exhibited some alterations: Just below the diaphragm the azygos and the right ascending lumbar v. ran into the right IVC separately; the hemiazygos and the left ascending lumbar vv. joined before entering the left IVC. The testicular vv. ended normally on the right side in the right IVC, on the left side in the left renal vein. The embryologic basis of the pattern of these vessels is discussed and a short overview of the literature given. In the present case there were also some alterations in the course of the renal and testicular aa.

摘要

在解剖过程中,在一名82岁男性体内发现了一条重复的下腔静脉(IVC)。两条下腔静脉通过两个吻合口相互连接。其他腹膜后静脉的走行也有一些改变:在膈肌下方,奇静脉和右腰升静脉分别汇入右IVC;半奇静脉和左腰升静脉在汇入左IVC之前汇合。睾丸静脉在右侧正常汇入右IVC,在左侧汇入左肾静脉。文中讨论了这些血管形态的胚胎学基础,并对相关文献进行了简要综述。在本病例中,肾动脉和睾丸动脉的走行也有一些改变。

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本文引用的文献

1
Variations in the pattern of renal vessels and their relation to the type of posterior vena cava in man.人类肾血管模式的变异及其与下腔静脉类型的关系。
Am J Anat. 1959 Mar;104:295-318. doi: 10.1002/aja.1001040206.
2
Anomalies of the inferior vena cava.下腔静脉异常。
AJR Am J Roentgenol. 1983 Feb;140(2):339-45. doi: 10.2214/ajr.140.2.339.
3
Congenital anomalies of the inferior vena cava. Review of embryogenesis and presentation of a simplified classification.下腔静脉先天性异常。胚胎发生学综述及简化分类介绍
Br J Radiol. 1974 Apr;47(556):206-13. doi: 10.1259/0007-1285-47-556-206.
4
[A partially duplicated vena cava inferior: clinical, macroscopic and embryologic anatomy].
Gegenbaurs Morphol Jahrb. 1988;134(2):143-53.
5
Assessment of major venous anomalies by computerized tomography.通过计算机断层扫描评估主要静脉异常。
J Cardiovasc Surg (Torino). 1990 Sep-Oct;31(5):621-8.
6
Left retrocaval ureter associated with left inferior vena cava.
AJR Am J Roentgenol. 1990 Sep;155(3):545-6. doi: 10.2214/ajr.155.3.2117354.