The inferior vena cava (IVC) is an important structure receiving a large amount of venous return and is associated with various congenital disorders. Advances in diagnostic imaging and its increasing accessibility have led to an increase in the incidental detection of IVC anomalies. Congenital anomalies of the IVC are not uncommon and are occasionally critical to treatment planning. However, they are frequently overlooked in abdominal imaging. The IVC is composed of four segments (intrahepatic, suprarenal, renal, and infrarenal), and each segment arises from different embryonic structures in a complex process. Anomalies of the IVC can be classified according to the involved segment. Familiarity with the variety of IVC anomalies seen on imaging is vital for correctly diagnosing and managing patients in daily practice.
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Compliance with ethical standards
This work was supported by Soonchunhyang University Research Fund.
Conflict of interest
The authors declare that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. For this type of study, formal consent was not required.
Statements of informed consent were not applicable because the manuscript contains no patient data.
Kellman GM, Alpern MB, Sandler M, Craig BM (1988) Computed tomography of vena caval anomalies with embryologic correlation. Radiographics 8(3):533–556CrossRefPubMedGoogle Scholar
Mayo J, Gray R, St Louis E, et al. (1983) Anomalies of the inferior vena cava. Am J Roentgenol 140(2):339–345CrossRefGoogle Scholar
Mano A, Tatsumi T, Sakai H, et al. (2004) A case of deep venous thrombosis with a double inferior vena cava effectively treated by suprarenal filter implantation. Jpn heart J 45(6):1063–1069CrossRefPubMedGoogle Scholar
Smith DC, Kohne RE, Taylor FC (1992) Steel coil embolization supplementing filter placement in a patient with a duplicated inferior vena cava. J Vasc Interv Radiol 3(3):577–580CrossRefPubMedGoogle Scholar
Mathews R, Smith PA, Fishman EK, Marshall FF (1999) Anomalies of the inferior vena cava and renal veins: embryologic and surgical considerations. Urology 53(5):873–880CrossRefPubMedGoogle Scholar
Kandpal H, Sharma R, Gamangatti S, et al. (2008) Imaging the Inferior vena cava: a road less traveled 1. Radiographics 28(3):669–689CrossRefPubMedGoogle Scholar
Smillie RP, Shetty M, Boyer AC, et al. (2015) Imaging evaluation of the inferior vena cava. RadioGraphics 35(2):578–592CrossRefPubMedGoogle Scholar
Bass JE, Redwine MD, Kramer LA, et al. (2000) Spectrum of congenital anomalies of the inferior vena cava: cross-sectional imaging findings 1: (CME available in print version and on RSNA link). Radiographics 20(3):639–652CrossRefPubMedGoogle Scholar
McClure CF, Butler EG (1925) The development of the vena cava inferior in man. Am J Anatomy 35(3):331–383CrossRefGoogle Scholar
Panicek DM, O’Moore PV, Castellino RA (1992) Preaortic iliac venous confluence (“Marsupial cava”): a rare anomaly of the inferior vena cava. Urol Radiol 14(1):188–190CrossRefPubMedGoogle Scholar
Minniti S, Visentini S, Procacci C (2002) Congenital anomalies of the venae cavae: embryological origin, imaging features and report of three new variants. Eur Radiol 12(8):2040–2055CrossRefPubMedGoogle Scholar
Schultz CL, Morrison S, Bryan PJ (1984) Azygos continuation of the inferior vena cava: demonstration by NMR imaging. J Comput Assist Tomogr 8(4):774–776CrossRefPubMedGoogle Scholar
Lee FT Jr, Pozniak M, Helgerson R (1993) US case of the day. Polysplenia syndrome. Radiographics 13(5):1159–1162CrossRefPubMedGoogle Scholar
Gibo M, Onitsuka H (1998) Retroaortic left renal vein with renal vein hypertension causing hematuria. Clin Imaging 22(6):422–424CrossRefPubMedGoogle Scholar
Chuang VP, Mena CE, Hoskins PA (1974) Congenital anomalies of the inferior vena cava. Review of embryogenesis and presentation of a simplified classification. Br J Radiol 47(556):206–213CrossRefPubMedGoogle Scholar
McClure CFW, Huntington GS (1929) The mammalian vena cava posterior: an ontogenetic interpretation of the atypical forms of vena cava posterior (inferior) found in the adult domestic cat (Felis domestica) and in man. Philadelphia: Wistar Institute of Anatomy and BiologyGoogle Scholar
de Souza Rocha M, Lourenço RB, Chang YS, et al. (2008) Preaortic iliac confluence (Marsupial vena cava): report of 4 cases. J Comput Assist Tomogr 32(5):706–709CrossRefGoogle Scholar
Ruemenapf G, Rupprecht H, Schweiger H (1998) Preaortic iliac confluence: a rare anomaly of the inferior vena cava. J Vasc Surg 27(4):767–771CrossRefPubMedGoogle Scholar
Shindo S, Kobayashi M, Kaga S, et al. (1999) Retrocaval ureter and preaortic iliac venous confluence in a patient with an abdominal aortic aneurysm. Surg Radiol Anatomy 21(2):147–149CrossRefGoogle Scholar
Jiménez R, Morant F (2011) The importance of venous and renal anomalies for surgical repair of abdominal aortic aneurysms. Chennai: InTechCrossRefGoogle Scholar
Doyle AJ, Melendez MG, Simons MA (1992) Ipsilateral duplication of the inferior vena cava. J Clin Ultrasound 20(7):481–485CrossRefPubMedGoogle Scholar
Meyer D, Andresen R, Friedrich M (1998) Right-sided double inferior vena cava and common iliac vein: imaging with spiral computerized tomography. Aktuelle Radiol 8(3):148–150PubMedGoogle Scholar
Sénécail B, Josseaume T, Bobeuf J, et al. (2004) Right-sided duplication of the inferior vena cava. Morphologie 88(283):183–187CrossRefPubMedGoogle Scholar
Nagashima T, Lee J, Andoh K, et al. (2006) Right double inferior vena cava: report of 5 cases and literature review. J Comput Assist Tomogr 30(4):642–645CrossRefPubMedGoogle Scholar
Ng W, Ng S (2009) Double inferior vena cava: a report of three cases. Singapore Med J 50(6):211–213Google Scholar
Gong J, Jiang H, Liu T, et al. (2011) Imaging of partial right double vena cava with ureter crossing through its split, confirmed at surgery. Clin Imaging 35(2):148–150CrossRefPubMedGoogle Scholar
Babu CR, Lalwani R, Kumar I (2014) Right double inferior vena cava (IVC) with preaortic iliac confluence–case report and review of literature. J Clin Diagn Res: JCDR 8(2):130PubMedGoogle Scholar
Koc Z, Oguzkurt L (2007) Interruption or congenital stenosis of the inferior vena cava: prevalence, imaging, and clinical findings. Eur J Radiol 62(2):257–266CrossRefPubMedGoogle Scholar