右腎機能低下をともなった下大静脈形成不全の1例

Abstract

We report a rare case of anomalous inferior vena cava (IVC) in a 46-year-old woman hospitalized for the examination of right hypofunctional kidney. She had no history of trauma or pyelonephritis and there were no abnormalities in laboratory findings except serum creatinine value. Excretory urography showed no excretion of contrast medium from right kidney and retrograde pyelography revealed moderate hydronephrosis of right kidney but the obstruction of the ureter was not recognized. Abdominal computed tomographic scan showed a total trace of IVC and inferior venacavography demonstrated complete obstruction of the IVC from its origin with collateralization of upper lumber veins and vertebral veins. Surgical exploration was performed and demonstrated that IVC was a trace from the postrenal segment to hepatic segment. Two right renal veins were draining into the upper lumber vein and the right ureter was compressed slightly by lower renal vein, dilated ovarian vein and fibrotic connective tissue.