Agenesis of the inferior vena cava associated with lower extremities and pelvic venous thrombosis Roberto Jiménez Gil, MD, Alberto Miñano Pérez, MD,

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Agenesis of the inferior vena cava associated with lower extremities and pelvic venous thrombosis Roberto Jiménez Gil, MD, Alberto Miñano Pérez, MD, Jorge Bercial Arias, MD, Fernando Bernabeu Pascual, MD, Eugenio Sansegundo Romero, MD Journal of Vascular Surgery Volume 44, Issue 5, Pages 1114-1116 (November 2006) DOI: 10.1016/j.jvs.2006.06.021 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Abdominal computed tomography. A, Absence of the intrahepatic and suprarenal cava, with dilated azygous and hemiazygous veins (arrows). B, Absence of renal cava, with renal venous collaterals (open arrows) draining into enlarged ascending lumbar and paravertebral veins (black arrows). C, Absence of the infrarenal cava, with a cluster of collateral veins dilated and thrombosed in the right pelvis (curved arrow). D, Abdominal computed tomography 2 years later showing a reduction of pelvis venous thrombosis (right angle arrow) and development of venous plexus on the abdominal wall (thin arrow). Journal of Vascular Surgery 2006 44, 1114-1116DOI: (10.1016/j.jvs.2006.06.021) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Right femoral venography. A, The inferior vena cava is completely absent, with enlarged paravertebral veins (curved arrow) draining into the azygous and hemiazygous veins (straight arrows). B, A dilated azygous vein drains in the chest into the superior vena cava (thin arrow). Journal of Vascular Surgery 2006 44, 1114-1116DOI: (10.1016/j.jvs.2006.06.021) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Embryologic derivation of the inferior vena cava from 7 weeks of gestation (A) to the adult (B). Journal of Vascular Surgery 2006 44, 1114-1116DOI: (10.1016/j.jvs.2006.06.021) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions