DOI: http://dx.doi.org/10.18203/2349-2902.isj20192393

Missing inferior vena cava: report of a rare case

Senthil Kumar Perumal, Sugi R. V. Subramaniam

Abstract


Missing inferior vena cava (IVC) is an uncommon but well recognised anomaly. Our case was a 32 year old male, presented to us with features suggestive of gastric outlet obstruction. When evaluated he was found to have gastric outlet obstruction secondary to cicatrized duodenum and a large subcutaneous vein running from supra pubic region towards the left axilla. Further imaging revealed the complete absence of inferior vena cava and the large collateral drainng the venous blood from lower half of the body into left interal jugular vein. Surgical correction of this rare anomaly is not required in the absence of deep vein thrombosis and venous ulcers of lower extremity. Here we report a case of young male with incidentally detected missing IVC as a contribution to the limited literature available on this rare anomaly. 


Keywords


Absent IVC, Deep vein thrombosis, Collateral vein

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References


Anderson RC, Adams P, Burke B. Anomalous inferior vena cava with azygous continuation (infra-hepatic interruption of the inferior vena cava). J Pediatr. 1961;59(3):370-83

Spentzouris G, Zandian A, Cesmebasi A, Kinsella CR, Muhleman M, Mirzayan N. The clinical anatomy of the inferior vena cava: a review of common congenital anomalies and considerations for clinicians. Clin Anat. 2014;27:1234-43.

Bass JE, Redvine MD, Kramer LA, Huynh PT, Harris JH: Spectrum of Congenital anomalies of the inferior vena cava: cross-sectional imaging findings. Radiographics. 2000;20(3):639-52.

Tharumenthiran R, Hughes TMD, Richardson AJ. Perinatal inferior vena cava thrombosis and absence of the infrarenal inferior venacava. J Vasc Surg 2001;33:1097-9.

Gil RJ, Pérez AM, Arias JB, Pascual FB, Romero ES. Agenesis of the inferior vena cava associated with lower extremities and pelvic venous thrombosis. J Vasc Surg. 2006;44(5):1114-6.

Debing E, Jolie E. Congenital absence of Inferior Vena Cava. Eur J Vase Surg. 1993;7:201-3.

Gayer G, Zissin R, Strauss S, Hertz M. IVC anomalies and right renal aplasia detected on CT: a possible link? Abdominal Imaging. 2003;28(3):395-9.

Ueda J, Hara K, Kobayashi Y, Ohue S, Udrida H. Anomaly of the Inferior Vena Cava observed by CT. Computerised Radiol. 1983;7:145-54.

Dougherty MJ, Calligaro KD, DeLaurentis DA. Congenitally absent inferior vena cava presenting in adulthood with venous stasis and ulceration: A surgically treated case. J Vasc Surg. 1996;23:141-6.

Knudtzon J, Gudmundsen TE, Svane S.Congenital absence of the entire inferior vena cava.The diagnostic significance of varicose veins of the abdominal wall. Acta Chir Scand. 1986;152:541-6.