Left sided inferior vena cava with azygos continuation

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

History of total abdominal hysterectomy and bilateral salpingo oophorectomy. Incidental finding.

Patient Data

Age: 60 years
Gender: Female

Left sided inferior vena cava with the absence of the hepatic segment and azygos continuation is seen.

A 35 mm contrast filled diverticulum is present at the medial aspect of the second portion of the duodenum.
  
The uterus and ovaries are not seen at the anatomical location due to prior resection. There is no sign of local tumoral recurrence at the surgical site. No regional lymphadenopathy is identified.

Case Discussion

Left sided inferior vena cava with the azygos continuation is an uncommon vascular anomaly and is a cause of a dilated azygos vein.

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