Pelvic congestion syndrome due to agenesis of the infrarenal inferior vena cava

• Main Authors: Terence Menezes, Ehsan A. Haider, Faten Al-Douri, Mohamed El-Khodary, Ishaq Al-Salmi
• Format: Article
• Language: English
• Published: Elsevier 2019-01-01
• Series: Radiology Case Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043317305782

The inferior vena cava (IVC) is the main conduit of venous return to the right atrium from the lower extremities and abdominal organs. Agenesis of the IVC has an incidence of <1% in the general population [1], although it has been reported in the literature as occurring in up to 8.7% of the population [2]. Patients with absent IVC may present with symptoms of lower extremity venous insufficiency [6], idiopathic deep venous thrombosis [7], or pelvic congestion syndrome. To our knowledge there have only been a few cases reported in the literature of agenesis of the IVC associated with pelvic congestion syndrome [3,10,11]. We present another interesting case of pelvic congestion syndrome due to absent IVC. Keywords: Absence of IVC, IVC anomalies, Pelvic congestion syndrome, DVT, Varices