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Right internal iliac vein joining the left common iliac vein: case report demonstrated by CT angiography

  • Anatomic Variations
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Abstract

An unusual variation of the iliac veins was detected by computed tomography (CT) angiography in a 35-year-old man. In coronal CT reconstructions, it was shown that the right internal iliac vein of this patient crossed to the left side and drained to the left common iliac vein. This variation is important in retroperitoneal, laparoscopic and orthopedic surgery. We present the CT findings and discuss the embryological origin of this unusual congenital anomaly.

Résumé

Une variation inhabituelle des veines iliaques a été découverte par tomodensitométrie chez un malade de 35 ans. Les reconstructions coronales ont montré que la veine iliaque interne droite du patient croisait la ligne médiane vers la gauche pour se drainer dans la veine iliaque commune gauche. Cette variation est importante à connaître en chirurgie rétro-péritonéale, laparoscopique et orthopédique. Nous présentons les documents obtenus par tomodensitométrie et discutons l'origine embryologique de cette anomalie congénitale rare.

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References

  1. Alatri A, Radicchia S (1997) Bilateral aneurysm of the common iliac vein: a case report. Ann Ital Med Int 12: 92–93

    CAS  PubMed  Google Scholar 

  2. Allgayer B, Reiser M, Ries G, Feuerbach S (1981) Computed tomographic demonstration of venous thrombosis of different etiologies. Eur J Radiol 1: 204–206

    CAS  PubMed  Google Scholar 

  3. Babaian RJ, Johnson DE (1979) Major venous anomalies complicating retroperitoneal surgery. Southern Med J 72: 1254–1258

    CAS  Google Scholar 

  4. Baldridge ED Jr, Canos AJ (1987) Venous anomalies encountered in aortoiliac surgery. Arch Surg 122: 1184–1188

    PubMed  Google Scholar 

  5. Bergman RA, Afifi AK, Miyauchi R. Illustrated encyclopedia of human anatomic variation. Part II: Cardiovascular system. Virtual Hospital web site http://www.vh.org

  6. Edwards WR (1996) Hysterectomy, massive transfusion and packing to control haemorrhage from pelvic veins in the course of bilateral oophorectomy. Aust N Z J Obstet Gynaecol 36: 82–84

    CAS  PubMed  Google Scholar 

  7. Hollinshead WH (1969) Anatomy for surgeons, vol 2, 2nd edn. Harper & Row, Maryland, pp 665–671

  8. Keating EM, Ritter MA, Faris PM (1990) Structures at risk from medially placed acetabular screws. J Bone Joint Surg Am 72: 509–511

    CAS  PubMed  Google Scholar 

  9. LePage PA, Villavicencio JL, Gomez ER, Sheridan MN, Rich NM. (1991) The valvular anatomy of the iliac venous system and its clinical implications. J Vasc Surg 14: 678–83

    Article  CAS  PubMed  Google Scholar 

  10. Mirkovic S, Abitbol JJ, Steinman J, Edwards CC, Schaffler M, Massie J, Garfin SR (1991) Anatomic consideration for sacral screw placement. Spine 16(Suppl): S289–S294

    CAS  PubMed  Google Scholar 

  11. Moore KL (1988) The developing human. Clinically oriented embryology. WB Saunders, pp 287–291

  12. Nezhat C, Childers J, Nezhat F, Nezhat CH, Seidman DS (1997) Major retroperitoneal vascular injury during laparoscopic surgery. Hum Reprod Mar 12: 480–483

    CAS  Google Scholar 

  13. Sperling M, Winter G, Weiland W (1975) Duplication of the external and common iliac veins with a venous trunk anterior to the artery (author's translation). MMW Munch Med Wochenschr 26: 1547–1550

    Google Scholar 

  14. Sürücü HS, Erbil KM, Tastan Ç, Yener N (2001) Anomalous veins of the retroperitoneum: clinical considerations. Surg Radiol Anat 23: 443–445

    PubMed  Google Scholar 

  15. Williams PL, Bannister LH, Berry MM, Dyson M, Dussek JE, Ferguson MWJ (1995) Gray's anatomy, 38th edn. Churchill-Livingstone, Edinburgh, pp 1598–1599

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Correspondence to H. S. Sürücü.

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Oto, A., Akpınar, E., Sürücü, H.S. et al. Right internal iliac vein joining the left common iliac vein: case report demonstrated by CT angiography. Surg Radiol Anat 25, 339–341 (2003). https://doi.org/10.1007/s00276-003-0123-0

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  • DOI: https://doi.org/10.1007/s00276-003-0123-0

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