caa a22 4500 44531088X CHVBK 20180317142629.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00404-010-1803-8 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1803-8 Congenital retroperitoneal vascular anomalies: impact on pelvic surgery [Elektronische Daten] [Alexander Strauss, Carolin Kuemper, Christoph Mundhenke, Fritz Schaefer, Walter Jonat, Felix Hilpert] Purpose: Congenital anomalies of the inferior vena cava (IVC) are not commonly recognized since they generally do not cause symptoms. Methods: Preoperative cross-sectional imaging can identify anomalies of vascular structures that are highly relevant to the pelvic surgeon. The clinical impact of congenital vascular variations of IVC, especially on paraaortic lymphadenectomy, is investigated. Results: In case the surgeon is unaware of these anomalies, impending differential diagnostic confusion (paraaortic adenopathy), intraoperative blood loss and the need for transfusion may occur. The development of IVC is a complex process concerning the formation of several anastomoses between three paired embryonic veins (posterior cardinal, subcardinal, supracardinal veins). In double IVC, the left IVC typically ends at the level of the left renal vein, in an anastomosis which crosses anterior to the aorta to join the normal right IVC. Conclusion: Anomalies of IVC are present in 0.4-3.5% of women. As different aberrations of IVC have important clinical implications, awareness of retroperitoneal abnormal vessels is crucial to avoid diagnostic pitfalls and intraoperative complications. Springer-Verlag, 2010 Double inferior vena cava (IVC) nationallicence Computerized tomography nationallicence Pelvic surgery nationallicence Paraaortic lymphadenectomy nationallicence Gynaecological cancer nationallicence Strauss Alexander Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Kuemper Carolin Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Mundhenke Christoph Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Schaefer Fritz Department of Diagnostic Radiology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Jonat Walter Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Hilpert Felix Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1169-1173 0932-0067 284:5<1169 2011 284 404 https://doi.org/10.1007/s00404-010-1803-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1803-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Strauss Alexander Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Kuemper Carolin Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Mundhenke Christoph Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Schaefer Fritz Department of Diagnostic Radiology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Jonat Walter Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 700 1- Hilpert Felix Department of Obstetrics and Gynaecology, Kiel University Hospital, Arnold-Heller-Strasse 3, Building 24, 24105, Kiel, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1169-1173 0932-0067 284:5<1169 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer