Variations In The Tributaries Of Inferior Vena Cava – An Anatomical Study In 50 Cadavers

Objectives: To document the variations in the tributaries of inferior vena cava (IVC) with double common iliacveins, retro aortic renal veins and to establish embryological and clinic-anatomical correlations of such variation.Materials and Methods: The findings were noted after thorough and meticulous dissection of the abdomen of 50cadavers in the department of Anatomy, Bhaskar Medical College, India. Photographic documentation of thevariation was also made.Results: Variations were reported in 2 cadavers.1) In one cadaver the left renal vein, after its origin from the kidney passed obliquely behind the abdominalaorta, joined the IVC at the level of 3rd lumber vertebra below the attachment of right crus of diaphragm. Left renalartery was normal in position.2) In another cadaver, there was a communication between the right internal and external iliac veins at the pelvicbrim anterior to the sacroiliac joint. From there two right common iliac veins, one appeared as continuation ofinternal iliac vein(common iliac vein I) and the other as a continuation of external iliac vein (common iliac veinII) ran upwards to join the IVC.Conclusion: The variation can be explained in the light of embryological development. In addition, knowledge ofsuch variation is important for carrying out surgical procedures in the abdomen

A Case of Deep Vein Thrombosis in Common Iliac Vein after Arthroscopic Partial Meniscectomy / 대한스포츠의학회지

Knee arthroscopy is generally considered a very safe operation with very high success rates. Few reported cases of complications arising from only arthroscopic partial meniscectomy include deep vein thrombosis and pulmonary embolism. In this study, we present the case of a 44-year-old female patient with complications of deep vein thrombosis arising after undergoing an arthroscopic partial meniscectomy. Eight days post-operation, the patient presented with pain and swelling of the lower limb and inguinal area of the same side as the operation and was diagnosed by computed tomography scan with deep vein thrombosis. Apart from obesity, the patient presented with no other risk factors for deep vein thrombosis. The patient was given heparin treatment and discharged once her symptoms were relieved.

Reparación de vena iliaca primitiva con segmento de ligamento falciforme / Repair of the common iliac vein with a segment of falciform ligament

Reportar cómo, en el manejo de un paciente con lesión de vena iliaca primitiva, brindó buenos resultados el realizar autoplastia con ligamento falciforme. Presentamos el caso de un varón de 26 años sin antecedentes personales de importancia. Ingresó al servicio de urgencias del Hospital San Vicente de Paúl, Medellín, Colombia, con múltiples heridas por arma de fuego, hemodinámicamente estable. En laparotomía demostró perforaciones en intestino delgado y meso, desgarro en unión ileocecal y vena iliaca primitiva en un 50 de su circunferencia. Se realiza anastomosis término-lateral en unión ileocecal y reparación de vena iliaca con autoplastia del ligamento falciforme. El paciente evolucionó satisfactoriamente, no presentó complicaciones inmediatas post-quirúrgicas como tromboembolismos, estenosis u obstrucción en el sitio de sutura. Las lesiones vasculares abdominales presentan una alta mortalidad y morbilidad. El conocimiento anatómico del retroperitóneo, las vías de abordaje de los vasos, así como la exploración clínica adecuada, ayudará a disminuir las complicaciones y la mortalidad de estos pacientes. La reparación de heridas de grandes vasos venosos abdominales con parche de peritóneo es una buena alternativa para este tipo de traumas vasculares.

Objective: To report on how, handling a patinet with an injury in the common iliac vein, autoplasty with falciform ligament provided good results. This is the case of a male, 26 years old with no significant medical history. He was admitted in the ER of the San Vicente de Paul Hospital in Medellín, Colombia with multiple firearm wounds, in a stable condition regarding his hemodynamics. In laparotomy showed perforations in the small intestine and the mesocolon and tears in ileocecal joint and common iliac vein in 50 of its circumference. End-to-side anastomosis in ileosecal joint and repair of iliac vein with autoplasty from falciform ligament were made. Patient evolution was satisfactory, there were no post-operative complications such as thromboembolism, stenosis, or obstruction in the suture level. Abdominal vascular injuries have a high mortality and morbidity rate. Anatomic knowledge of retroperitoneum, ways of approach of vessels as well as na appropriate clinical exploration will be helpful in reducing complications and mortality in these patients. Repair of wounds of big abdominal venous vessels with peritoneum patch is a good choice for this type of vascular trauma.

A Case of Congenital Absence of the Inferior Vena Cava / 대한내과학회지

Obstruction of the inferior vena cava may presented with unusual and varied pathologic condition and be due to thrombus, extension of tumor, extrinsic compression, or intrinsic caval disease. Thrombus is major cause of obstruction of the inferior vena cava and congenital absence of the inferior vena cava with azygos continuation is extremely rare. In congenital absence of the inferior vena cava (Infrahepatic interruption of inferior vena cava with azygos continuation), infrahepatic inferior vena cava is obliterated but infrarenal portion of the inferior vena cava is patent. In this anormaly, blood from the lower extremities and kidney drained into azygous vein and hemiazygous vein via ascending lumbar vein which eventually into the superior vena cava. These anormaly is seen in 0.6% of patients with congenital heart disease, particularly in cases of polysplenia. We experienced one case of congenital absence of the infrahepatic inferior vena cava, which involved infrarenal portion and the common iliac vein with azygos continuation in 63-year-old male. He was complained of lower abdominal pain, constipation. We report this case with reviewing literatures.

Common iliac vein in Thais.

From the dissection of 274 adult Thai cadavers, the sites of the beginning and the sites of the ending of the common iliac vein were recorded. The most common out of ten sites of the beginning was the ala of the sacrum (84%). From six sites of the ending, the most common was the body of the 5th lumbar vertebra (69.0%).