The site of anastomosis was supracolic infrahepatic
, at approximately 4 cm from the pancreas.
In hindsight, maybe in such a heavy liver, to prevent this drag, we should cut the suprahepatic cava before the infrahepatic
, so that natural tendency while cutting top cava to pull on the liver is avoided.
Right radical nephrectomy, partial adrenalectomy, inferior vena cava tumor thrombectomy (infrahepatic
), and extended retroperitoneal lymphadenectomy were performed; flexible cystoscopy performed during this surgery showed a bulbar urethral stricture (not clinically significant) and otherwise normal bladder.
Superficial and deep vein thrombosis associated with congenital absence of the infrahepatic
inferior vena cava in a young male patient.
** Intravenous heparin (5000 U) to patients with infrahepatic
IVC extension before IVC clamping.
IVC drains into the Azygos vein (black straight arrow) that enters the thorax together with the aorta (star).
Histopathology was reported as mature cystic teratoma in specimens from the posterior surface of the uterus and nodules in the diaphragm, Morison's pouch and the infrahepatic
For patients without IVC obstruction, the portocaval or mesocaval shunts are reasonable options.10 For patients with IVC obstruction and/or high infrahepatic
to right atrium pressure gradient , mesocaval and portocaval shunts may not effectively decompress the liver and mesoatrial or mesocaval + cavoatrial shunts are better options.10
We noted a large left renal mass measuring 14 x 11 cm with tumour thrombus extending to the infrahepatic
inferior vena cava (IVC) with multiple regional metastatic lymph nodes, as well as lung metastasis (Fig.
The retroperitoneum covering the infrahepatic
IVC was incised.
The most common and characteristic inferior vena cava (IVC) anomaly is interruption of the infrahepatic
portion of the IVC with azygos continuation (Figure 9).
Total vascular exclusion involves controlling both the supra- and infrahepatic
IVC, as well as temporarily occluding both the common hepatic artery and portal vein in the porta hepatis (Pringle manoeuvre).