A Ruptured Abdominal Aortic Aneurysm with a Left-sided Inferior Vena Cava

Abstract

An 81 year-old man had persistent lumbar pain, abdominal pain, and abdominal distension for a week was acutely admitted to our hospital. An enhanced computed tomography scan showed a ruptured infrarenal abdominal aortic aneurysm and a left-sided inferior vena cava. We successfully performed emergency abdominal aortic reconstruction, though we needed temporary abdominal closure with a vinyl sheet for 3 days for fear of abdominal compartment syndrome. He recovered uneventfully and was discharged 27 days after surgery. Left sided inferior vena cava is a rare anomaly of the inferior vena cava and we review the relevant literature here.