CC BY-NC-ND 4.0 · Journal of Morphological Sciences 2018; 35(04): 221-224
DOI: 10.1055/s-0038-1675761
Brief Communication
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Double Inferior Vena Cava Associated with Double Suprarenal and Testicular Venous Anomalies: A Rare Case Report

Kimaporn Khamanarong
1   Department of Anatomy, Faculty of Medicine of Khon Kaen University, Khon Kaen, Thailand
,
Jarupon Mahiphot
1   Department of Anatomy, Faculty of Medicine of Khon Kaen University, Khon Kaen, Thailand
,
Sitthichai Iamsaard
1   Department of Anatomy, Faculty of Medicine of Khon Kaen University, Khon Kaen, Thailand
2   Center for Research and Development of Herbal Health Products, Faculty of Pharmaceutical Sciences of Khon Kaen University, Khon Kaen, Thailand
› Author Affiliations
Further Information

Publication History

05 May 2017

06 September 2018

Publication Date:
09 November 2018 (online)

Abstract

Introduction The variant courses of blood vessels are very important in considerations for retroperitoneal surgeries or interventional radiology. The present study attempted to describe a very rare case of double inferior vena cava (IVC) associated with double left suprarenal veins (LSRVs) and double right testicular veins (RTVs) in a Thai male embalmed cadaver.

Material and Methods A 70-year-old Thai male cadaver was systemically dissected and observed for the vascular distributions during gross anatomy teaching for medical students at the anatomy department of the faculty of medicine of the Khon Kaen University.

Results We found that the double IVCs were connected with the transverse interiliac vein. While the upper LSRV is a tributary of the IVC, the lower LSRV is a tributary of the left renal vein. The RTV bifurcates at about the height of the iliac cristae to form the medial and lateral RTVs, which drain into the right IVC at different heights.

Conclusion All these duplications and associated anomalies are assumed to occur during the embryological development. These anomalies are rare, but the knowledge about the possibilities of these anomalies is of great importance during retroperitoneal surgeries, and during interventional radiology.

 
  • References

  • 1 Iamsaard S, Kanla P, Arunyanart C. Double superior vena cava: two cases in Thai cadavers. Acta Medica Academica, 2014 , vol. 43, n.2, p.170–171. http://dx. doi:. Doi: 10.5644/ama2006-124.117
  • 2 Ng WT, Ng SS. Double inferior vena cava: a case report of three cases. Singapore Med J 2009; 50 (06) 211-213 http://smj.sma.org.sg/5006/5006cr5.pdf
  • 3 Saad KR, Saad PF, Amorim CA. , et al. Duplication of the inferior vena cava: case report and a literature review of anatomical variation. Journal of Morphological Sciences 2012; 29 (01) 60-64 http://jms.org.br/PDF/v29n1a14.pdf
  • 4 Kapetanakis S, Papadopoulos C, Galani P, Dimitrakopoulou G, Fiska A. Anomalies of the inferior vena cava: a report of two cases and a short review of the literature. Folia Morphol (Warsz) 2010; 69 (03) 123-127
  • 5 Itoh M, Moriyama H, Tokunaga Y. , et al. Embryological consideration of drainage of the left testicular vein into the ipsilateral renal vein: analysis of cases of a double inferior vena cava. Int J Androl 2001; 24 (03) 142-152 Doi: 10.1046/j.1365-2605.2001.00286.x
  • 6 Radermecker MA, Van Damme H, Kerzmann A, Creemers E, Limet R. Association of abdominal aortic aneurysm, horseshoe kidneys, and left-sided inferior vena cava: report of two cases. J Vasc Surg 2008; 47 (03) 645-648 Doi: 10.1016/j.jvs.2007.08.053
  • 7 Bonjer HJ, Sorm V, Berends FJ. , et al. Endoscopic retroperitoneal adrenalectomy: lessons learned from 111 consecutive cases. Ann Surg 2000; 232 (06) 796-803
  • 8 Suzuki K, Ushiyama T, Ihara H, Kageyama S, Mugiya S, Fujita K. Complications of laparoscopic adrenalectomy in 75 patients treated by the same surgeon. Eur Urol 1999; 36 (01) 40-47
  • 9 Stack SP, Rösch J, Cook DM, Sheppard BC, Keller FS. Anomalous left adrenal venous drainage directly into the inferior vena cava. J Vasc Interv Radiol 2001; 12 (03) 385-387 Doi: 10.1016/S1051-0443(07)61922-8
  • 10 Tubbs RS, Salter EG, Oakes WJ. Unusual drainage of the testicular veins. Clin Anat 2005; 18 (07) 536-539 Doi: 10.1002/ca.20135
  • 11 Chen H, Emura S, Nagasaki S, Kubo KY. Double inferior vena cava with interiliac vein: a case report and literature review. Okajimas Folia Anat Jpn 2012; 88 (04) 147-151 https://www.jstage.jst.go.jp/article/ofaj/88/4/88_147/_pdf
  • 12 Mayo J, Gray R, St Louis E, Grosman H, McLoughlin M, Wise D. Anomalies of the inferior vena cava. AJR Am J Roentgenol 1983; 140 (02) 339-345 Doi: 10.2214/ajr.140.2.339
  • 13 Bass JE, Redwine MD, Kramer LA, Huynh PT, Harris Jr JH. Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics 2000; 20 (03) 639-652 Doi: 10.1148/radiographics.20.3.g00ma09639
  • 14 Mathews R, Smith PA, Fishman EK, Marshall FF. Anomalies of the inferior vena cava and renal veins: embryologic and surgical considerations. Urology 1999; 53 (05) 873-880
  • 15 Kennealey PT, Saidi RF, Markmann JF, Ko DSC, Kawai T, Yeh H. Duplicated inferior vena cava - something to consider in the evaluation of a living donor renal transplant. Dial Transplant 2009; 38 (10) 420-422 Doi: 10.1002/dat.20363
  • 16 Kouroukis C, Leclerc JR. Pulmonary embolism with duplicated inferior vena cava. Chest 1996; 109 (04) 1111-1113 Doi: 10.1378/chest.109.4.1111
  • 17 Klimberg I, Wajsman Z. Duplicated inferior vena cava simulating retroperitoneal lymphadenopathy in a patient with embryonal cell carcinoma of the testicle. J Urol 1986; 136 (03) 678-679
  • 18 Gay SB, Armistead JP, Weber ME, Williamson BR. Left infrarenal region: anatomic variants, pathologic conditions, and diagnostic pitfalls. Radiographics 1991; 11 (04) 549-570 Doi: 10.1148/radiographics.11.4.1887111
  • 19 Inamasu J, Guiot BH. Laparoscopic anterior lumbar interbody fusion: a review of outcome studies. Minim Invasive Neurosurg 2005; 48 (06) 340-347 Doi: 10.1055/s-2005-915634
  • 20 Anne N, Pallapothu R, Holmes R, Johnson MD. Inferior vena cava duplication and deep venous thrombosis: case report and review of literature. Ann Vasc Surg 2005; 19 (05) 740-743 Doi: 10.1007/s10016-005-5674-6
  • 21 Sèbe P, Peyromaure M, Raynaud A, Delmas V. Anatomical variations in the drainage of the principal adrenal veins: the results of 88 venograms. Surg Radiol Anat 2002; 24 (3-4): 222-225 Doi: 10.1007/s00276-002-0021-x
  • 22 Daunt N. Adrenal vein sampling: how to make it quick, easy, and successful. Radiographics 2005; ; 25 (1, Suppl 1) S143-S158 Doi: 10.1148/rg.25si055514
  • 23 Moore KL, Persaud TVN, Torchia MG. The Developing human clinically oriented embryology. 9th ed. Elsevier Saunders 2013. , p. 292,514.
  • 24 Oztürk NC, Uzmansel D, Kara A, Oztürk H. Variation in the position, relation and vasculature of left suprarenal gland: a case report. Surg Radiol Anat 2010; 32 (10) 985-988 Doi: 10.1007/s00276-010-0636-2
  • 25 Khamanarong K, Sawatpanich T, Chaichum A. Double left suprarenal vein and its clinical implication. Srinagarind Medical Journal 2015 ;30(7): http://thailand.digitaljournals.org/index.php/SMJ/article/download/28336/27550
  • 26 Nayak BS, Rao KM, Shetty SD, Sirasanagandla SR, Kumar N, Guru A. Terminal bifurcation of the right testicular vein and left testicular arterio-venous anastomosis. Kathmandu Univ Med J (KUMJ) 2013; 11 (42) 168-170