AIM We describe the case of a 38 year old man, with a story of alcohol abuse, who developed a very painful nodular subcutaneous fat necrosis, fever and polyarthritis, denying any abdominal symptoms due to a pancreatic pseudocyst-inferior vena cava fistula. MATERIAL OF STUDY The authors discuss the unusual and protracted course with intermittent hyperamylasemia and hyperlipasemia related to cl...

A double Inferior Vena cava (IVC) was observed during routine dissection of the posterior abdominal wall in a middle aged male cadaver. The left IVC was formed at the Junction of left external and internal iliac veins. It ascended upwards medial to left psoas major and at the level of second Lumbar vertebra, opened into left renal vein. The IVC is a retro peritoneal structure whose location and...

Double inferior vena cava (d-IVC) is a subtype of vascular anomaly that rarely needs treatment. Here, we present a rare case of d-IVC accompanied with concurrent renal pelvis and bladder carcinoma. Due to misdiagnosis, the anomalous left inferior vena cava (IVC) entering the left renal vein was mistaken as the gonadal vein and was then severed during the radical nephroureterectomy. Fortunately,...

Renal transplantation is an established method of treating end-stage renal failure. Whilst the majority of procedures follow a standard technique, vascular anomalies may pose intraoperative challenges and, therefore, careful preoperative assessment is warranted. We present a unique, complex case compounded by complete absence of iliac arteries in the left hemipelvis in association with double i...

Paradoxical embolism is a common cause of cryptogenic stroke. Cardiogenic origin is often the real culprit of unexplained stroke. We report a rare case of double atrial septum with an interatrial chamber and stenosis of the inferior vena cava orifice, which lead to recurrent paradoxical embolism, and then highlight the clinical importance of this rare type of congenital heart disease.

Heterotaxy syndrome or situs ambiguous is a rare congenital disease in which the pattern of anatomical organization of the thoraco-abdominal visceral and vascular structures is not arranged in normal position. Patients with heterotaxy syndrome represent a wide range of anatomical variations including thoraco-abdominal structures. Here we report a rare case of asymptomatic heterotaxy syndrome in...

Retrieval of a Gunther tulip vena cava filter implanted in a patient with inferior vena cava and right common iliac vein thrombosis was attempted by the standard method. Because the filter was tilted, the hook became attached to the vena cava wall and could not be snared. During attempts at removal by an alternative method, the filter migrated toward the right atrium. However, it was finally su...

Address for Correspondence: Dr. Zhou Yaw Loo, Department of Surgery, Box Hill Hospital, Nelson Road, Melbourne, VIC 3128, Australia. Phone: +614 3033 5733. E-Mail: [email protected] Access this Article online Quick Response code Web site: *1 MBChB, PG Dip Surg Anat, 2 B Med Sci, MBBS, PG Dip Surg Anat. 1 & 2 Department of Anatomy and Neuroscience, University of Melbourne, Grattan Street, Pa...

A 20-year-old man was referred for the assessment of palpitations and associated dyspnea during exertion. He had no other associated cardiovascular symptoms. Physical examination revealed a healthy male with stable vital signs and a normal cardio respiratory examination. ECG, (Figure 1A), chest x-ray (Figure 1B), and blood counts as well as electrolyte panel were normal. Transthoracic echocardi...

Pulmonary adenocarcinoma is one of the major types of lung cancers in which metastasis is not uncommon. Hereby, we report a case of pulmonary adenocarcinoma with multiple muscular, cutaneous, pancreatic and peritoneal metastases. Actually, all these features occurring in one patient makes it an extraordinary case. A rare anatomic variation, double inferior vena cava (IVCs), was another rare man...