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Rare disease
Case report
Duplication of the inferior vena cava with thrombotic complication: incidentally detected
  1. Fode Bangaly Oulare1,
  2. Robert Karl Josef Clemens2,
  3. Thomas Pfammatter3 and
  4. Thomas Oleg Meier1
  1. 1Clinic for Angioloy, University Hospital Zurich, Zurich, Switzerland
  2. 2Department of Surgey, Baden Cantonal Hospital, Baden, Switzerland
  3. 3University Hospital Zurich Institute of Diagnostic Radiology, Zurich, Switzerland
  1. Correspondence to Dr Fode Bangaly Oulare; oularef{at}hotmail.com

Abstract

Although the duplication of the inferior vena cava (IVCD) is usually clinically silent and often detected incidentally by image analysis, it may have important relevance during retroperitoneal surgery and endovenous procedures. Furthermore, IVCD may represent the primary provocating factor of unilateral iliofemoral vein thrombosis in patient with hypoplasia or thrombosis of one of the caval veins. This was the case in a 37-year-old man with acute painful swelling of the right leg. The patient was treated successfully by endovenous reconstruction of the occluded caval vein. A review of the pathophysiology, clinical manifestation and treatment of the IVCD is provided here.

  • vascular surgery
  • venous thromboembolism

http://dx.doi.org/10.1136/bcr-2019-232307

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    Footnotes

    • Contributors All authors contributed with sufficient commitment to the development of this paper. FBO: discuss planing, conduct, reporting, conception and design, acquisition and interpretation of data, reporting and submitting. RKJC: discuss planing and conception. TP: treatement and acquisition of images. TOM: conception, controlling, acquisistion and interpretation of data, reporting submitting.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.