Duplex Inferior Vena Cava and Left Double Kidney with Severe Hydronephrosis: A Case Report

Dechao Feng, Chang Liu and Ping Han

Department of Urology, West China Hospital, Sichuan University, China

^*Correspondance to: Ping Han 

 PDF  Full Text DOI: 10.25107/2474-1647.2545

Abstract

Background: With the development of radiological techniques, it is easier and more accurate for us to evaluate preoperative variants of renal vasculature. Herein, we present a case for duplex inferior vena cava and left double kidney with severe Hydronephrosis. In combination with CT images and laparoscopic surgery, laparoscopic left nephrectomy was performed successfully. Methods: A 51-year-old woman complained of left waist pain for 3 years and aggravation for 2 months. Preoperative CT showed left duplex kidney with severe Hydronephrosis. Furthermore, we have noticed a duplex inferior vena cava. A transperitoneal laparoscopic left nephrectomy was performed successfully. Results: The patient recovered uneventfully and was discharged at 3 days postoperatively. Conclusion: Our patient represents a case of a rare venous anomaly, which has an incidence rate of 0.2% to 3%. As far as we know, no such cases have been reported previously in terms of duplex inferior vena cava and left double kidney with severe hydronephrosis. Abdominal enhanced CT is an effective tool for evaluating vascular abnormalities in patients. Laparoscopic left nephrectomy can be performed effectively and safely with the help of modern imaging techniques, even in patients with vascular anomalies.

Keywords

Double inferior vena cava; Duplex kidney; CT

Cite the article

Feng D, Liu C, Han P. Duplex Inferior Vena Cava and Left Double Kidney with Severe Hydronephrosis: A Case Report. Clin Surg. 2019; 4: 2545.