Thoracoabdominal intestinal duplication with absent inferior vena cava

• Published in: Pediatric surgery international Vol. 17; no. 7; pp. 540 - 542
• Main Authors: BHAT, N. A, AGARWALA, S, WADHWA, S, GUPTA, A. K, BHATNAGAR, V
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.09.2001; Berlin Springer Nature B.V
• Subjects: Azygos Vein - pathology; Biological and medical sciences; Child, Preschool; Dilatation, Pathologic; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Intestines - abnormalities; Male; Malformations; Medical sciences; Stomach, duodenum, intestine, rectum, anus; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Tomography, X-Ray Computed; Vena Cava, Inferior - abnormalities; Azygos vein; Cardiovascular disease; Male; Hernia; Surgery; Intestinal disease; Diagnosis; Thoracoabdominal; Inferior vena cava; Human; Agenesis; Radiodiagnosis; Duplication; Gut; Differential diagnostic; Case study; Newborn diseases; Concomitant disease; Newborn; Treatment; Malformation; Abdominal disease; Digestive diseases; Medical imagery; Computerized axial tomography; Diaphragm
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s003830000569

We report a rare case of thoracoabdominal intestinal duplication with absent inferior vena cava (IVC). The patient was initially explored with a mistaken diagnosis of diaphragmatic hernia on the basis of a chest radiograph and barium meal. However, a subsequent computed tomography scan revealed a mediastinal mass with an air-fluid level, a hugely dilated azygos vein, and an absent IVC. Thoracoabdominal exploration was required to excise the duplication cyst arising from the jejunum. We believe that this is the first report of this association.