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Yamaguchi A, Negoro H, Kojo K, et al. Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava. IJU Case Rep. 2021;4(2):86-88doi: 10.1002/iju5.12247.
Yamaguchi, A., Negoro, H., Kojo, K., Ikeda, A., Kimura, T., Kandori, S., Hoshi, A., Kojima, T., Kawai, K., & Nishiyama, H. (2021). Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava. IJU case reports, 4(2), 86-88. https://doi.org/10.1002/iju5.12247
Yamaguchi, Akane, et al. "Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava." IJU case reports vol. 4,2 (2021): 86-88. doi: https://doi.org/10.1002/iju5.12247
Yamaguchi A, Negoro H, Kojo K, Ikeda A, Kimura T, Kandori S, Hoshi A, Kojima T, Kawai K, Nishiyama H. Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava. IJU Case Rep. 2021 Jan 31;4(2):86-88. doi: 10.1002/iju5.12247. eCollection 2021 Mar. PMID: 33718812; PMCID: PMC7924090.
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IJU Case Rep. 2021 Jan 31;4(2):86-88. doi: 10.1002/iju5.12247. eCollection 2021 Mar.

Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava.

IJU case reports

Akane Yamaguchi, Hiromitsu Negoro, Kosuke Kojo, Atsushi Ikeda, Tomokazu Kimura, Shuya Kandori, Akio Hoshi, Takahiro Kojima, Koji Kawai, Hiroyuki Nishiyama

Affiliations

  1. Department of Urology University of Tsukuba Hospital Tsukuba Ibaraki Japan.

PMID: 33718812 PMCID: PMC7924090 DOI: 10.1002/iju5.12247

Abstract

INTRODUCTION: A double inferior vena cava is a rare anomaly with an incidence ranging from 0.3% to 3.0%. In patients with a double inferior vena cava, it is important to understand the precise anatomy and possible irregular lymph node flow when performing surgery for malignancies.

CASE PRESENTATION: A 60-year-old man with a non-seminoma was referred to our hospital after left high orchiectomy. Computed tomography revealed a double inferior vena cava and swollen masses in the para-aortic region. After four cycles of chemotherapy with etoposide and cisplatin, retroperitoneal lymph node dissection was safely performed with a modified template extended to the right side of the paracaval region by referring to three-dimensional images created by SYNAPSE VINCENT® software.

CONCLUSION: Preoperative three-dimensional images were useful to understand this patient's unusual and complicated anatomical positions.

© 2021 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association.

Keywords: imaging; inferior; retroperitoneal neoplasm; three‐dimensional; vena cava

Conflict of interest statement

The authors declare no conflict of interest.

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