Double inferior vena cava with bilateral mild hydronephrosis: a rare case report

Moloud Balafar; Zahra Parsian; Reza Javad Rashid; Navid Elmdust; Houri Arjmandi; Hassan Soleimanpour

doi:10.18502/fem.v6i2.8722

Moloud Balafar Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Zahra Parsian Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Reza Javad Rashid Department of Radiology, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
Navid Elmdust Students Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Houri Arjmandi Emergency Medicine Department, Qazvin University of Medical Sciences, Qazvin, Iran.
Hassan Soleimanpour Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

DOI: https://doi.org/10.18502/fem.v6i2.8722

Keywords: Anatomical Variation; Emergency Department; Inferior Vena Cava; Ultrasound

Abstract

A 47-year-old female with a history of antiphospholipid syndrome and ischemic stroke was presented to the emergency department due to abdominal pain and bloody vomiting. Ultrasonography showed double inferior vena cava and bilateral mild hydronephrosis. Furthermore, the abdominal computed tomography (CT) scan did not show any evidence of urolithiasis. The ultrasound images of distinctive developmental variations of inferior vena cava and other veins are important to be known. Vascular anomalies, although rare, should be taken into account in the differential diagnosis of focal lesions within the abdominal cavity. Double IVC might have been the cause of hydronephrosis in our patient.