Transposition of inferior vena cava

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Detected as an incidental finding.

Patient Data

Age: 50 years
Gender: Male

The left-sided inferior vena cava is noted (normal variant). It ends at the left renal vein and crosses anteriorly to the right opposite L1 to join the normal prehepatic segment of the IVC.

Case Discussion

Transposition of inferior vena cava (also known as left-sided IVC) refers to a variant course of the inferior vena cava. It is considered the most common anomaly of the IVC. This diagnosis is important for preoperative planning of nephrectomy and renal transplantation, vascular procedures such as portosystemic shuntsabdominal aortic aneurysm repair, and the placement of an IVC filter.

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