double inferior vena cava with an atypical mode of lateral branching of the abdominal aorta was observed in the cadaver of a 43-year-old Japanese male (No.781).
The left inferior vena cava was formed by the union of the left common iliac vein and an interiliac anastomosis which is derived from the interpostcardinal veins to the right inferior vena cava. The atypical vein ran upward for a distance of 123mm and communicated with the right inferior vena cava at a level anterior to the body of the first lumbar vertebra. There was another anastomosis between the right and left inferior vena cava which derived from the intersupracardinal vein.
The present case of double inferior vena cava belongs to type BC of McClure and Butler (1925) and is to be classified as type II-b-4 of Takemoto et al. (1978), and become the 72nd case in Japan since 1901.
Bilateral accessory renal arteries arose from the right side of the aorta and the left testicular artery, and pierced the lower part of the individual kidney. One right lateral splanchnic branch coming from the aorta diverged at the level of the upper border of the first lumbar vertebra, and had a common stem with the middle suprarenal, the pair of inferior suprarenal, the main renal and the testicular arteries. In the left side of the aorta, the mode of lateral splanchnic branching showed an usual manner with the exception that the accessory renal artery arose from the left testicular artery.
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