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Phlebologie 2016; 45(01): 36-39
DOI: 10.12687/phleb2285-1-2016
Kasuistik
Schattauer GmbH

Anomaly of the inferior vena cava and lactose malabsorption

Anomalie der Vena cava inferior und Laktosemalabsorption
W. J. Schnedl
1   Practice for General Internal Medicine, Bruck, Austria
,
P. Kalmar
2   Department of Radiology, Medical University of Graz, Austria
,
S. J. Wallner-Liebmann
3   Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Austria
,
G. Reiter
4   Siemens Healthcare Austria, Research & Development, Graz, Austria
,
H. Mangge
5   Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Austria
,
R. W. Lipp
6   Department of Internal Medicine, Medical University of Graz, Austria
› Author Affiliations
Further Information

Publication History

Received: 29 September 2015

Accepted: 20 November 2015

Publication Date:
21 December 2017 (online)

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Summary

Patients with anomalies of the inferior vena cava (IVC) are rare, are usually asymptomatic and this developmental anomaly is detected during radiologic evaluation of deep vein thrombosis or incidentally during abdominal radiologic evaluation. We report on time resolved three-dimensional magnetic resonance angiography (4D MRA) in a patient with congenital anomaly of the IVC and nonspecific abdominal complaints. 4D MRA is shown for evaluation and detailed diagnosis in vascular venous anatomy. However, due to continuing bloating and irregular bowel movements we investigated carbohydrate malabsorption and a lactose malabsorption was diagnosed. The nonspecific abdominal complaints in this patient with IVC anomaly were due to lactose malabsorption and were treated successfully with a lactose-free diet.

@Supplementary material online: www.phlebologieonline.de: http://dx.doi.org/10.12687/phleb2285-1-2016

Zusammenfassung

Patienten mit Anomalie der unteren Hohlvene (IVC) sind selten und in der Regel asymptomatisch. Diese Entwicklungsanomalie wird während radiologischer Auswertung der tiefen Beinvenenthrombose oder zufällig bei radiologischer Bildgebung des Abdomens erfasst. Wir berichten über die zeitaufgelöste dreidimensionale Magnetresonanz-Angiographie (MRA 4D) bei einer Patientin mit angeborener Anomalie der IVC und unspezifischen Bauchbeschwerden. 4D MRA ist dargestellt für die Auswertung und detaillierte Diagnose dieser Gefäßvenenanatomie. Aufgrund der anhaltenden Blähungen und dem unregelmäßigen Stuhlgang haben wir Kohlenhydrat-Malabsorptionen untersucht und eine Laktosemalabsorption wurde diagnostiziert. Die unspezifischen Bauchbeschwerden bei diesem Patienten mit IVC-Anomalie waren auf Laktosemalabsorption zurückzuführen und wurden erfolgreich mit einer laktosefreien Diät behandelt.

Keywords

Inferior vena cava anomaly - magnetic resonance imaging - nonspecific abdominal complaints - lactose malabsorption

Schlüsselwörter

Vena cava inferior-Anomalie - Magnetresonanz-Tomographie - unspezifische Bauchbeschwerden - Laktose-Malabsorption
 

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