Venous anomalies in renal transplantation: an accessory left-sided IVC in a live kidney donor

BMJ Case Rep. 2019 Dec 16;12(12):e232695. doi: 10.1136/bcr-2019-232695.

Abstract

Duplication of the inferior vena cava (IVC) resulting in an accessory left-sided IVC is a relatively rare vascular anomaly with a reported prevalence of 0.7%. Radiologically, a duplicated left-sided IVC is usually seen as a continuation of the left common iliac vein, crossing anterior to the aorta at the level of the renal vein to join the right-sided IVC. We present a rare case in which an accessory left-sided IVC was discovered intraoperatively, in a 47-year-old living donor, posing significant intraoperative challenges regarding extraction and subsequent transplantation.

Keywords: Transplantation; Urological surgery; Vascular surgery.

Publication types

  • Case Reports

MeSH terms

  • Delayed Graft Function / diagnosis*
  • Female
  • Humans
  • Intraoperative Complications / diagnosis*
  • Kidney Transplantation
  • Living Donors*
  • Male
  • Middle Aged
  • Nephrectomy
  • Recovery of Function
  • Vena Cava, Inferior / abnormalities*