Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Inferior Vena Cava Obstruction Accompanying Pericardiacophrenic Collateral Circulation

심막횡격정맥 측부순환을 동반한 하대정맥 폐쇄 1예

  • Kim, Jeong-Su (Department of Internal Medicine, InJe University, Paik Hospital) ;
  • Han, Seong-Hoon (Department of Internal Medicine, InJe University, Paik Hospital) ;
  • Song, Young-Soo (Department of Internal Medicine, InJe University, Paik Hospital) ;
  • Jeon, Woo-Ki (Department of Diagnostic Radiology, InJe University, Paik Hospital) ;
  • Yum, Ho-Kee (Department of Internal Medicine, InJe University, Paik Hospital) ;
  • Choi, Soo-Jeon (Department of Internal Medicine, InJe University, Paik Hospital) ;
  • Lee, Bong-Choon (Department of Internal Medicine, InJe University, Paik Hospital)
  • 김정수 (인제대학교 의과대학 서울백병원 내과학교실) ;
  • 한성훈 (인제대학교 의과대학 서울백병원 내과학교실) ;
  • 송영수 (인제대학교 의과대학 서울백병원 내과학교실) ;
  • 전우기 (인제대학교 의과대학 서울백병원 방사선학교실) ;
  • 염호기 (인제대학교 의과대학 서울백병원 내과학교실) ;
  • 최수전 (인제대학교 의과대학 서울백병원 내과학교실) ;
  • 이봉춘 (인제대학교 의과대학 서울백병원 내과학교실)
  • Published : 1995.10.31
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Abstract

The obstruction of inferior vena cava(IVC) is uncommon condition. The classification is based on the obstructive sites of major anatomic segments of IVC. The main collateral pathways of interruption of IVC were central channels through ascending lumbar veins, intervertebral veins and azygos-hemiazygos complex. However, the complete obstruction of mid-portion of IVC, accompanying collateral cirulation with pericardiacophrenic vein was rarely reported. We had experienced a case of complete obstruction of mid-portion of IVC with lobulated left cardiac border, which was unforgettable characteristic finding on chest radiograph. It was confirmed by venographic examination that the lobulated left cardiac shadow was a collateral circulation of pericardiacophrenic vein.

저자 등은 우측 늑막삼출과 간암을 동반하고 드물게 보이는 심막 횡격 정맥의 측부 순환을 동반한 신정맥 상부에서 하대정맥 폐쇄 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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