Anatomy of retrohepatic segment of inferior vena cava and termination of hepatic veins. 2009

S D Joshi, and S S Joshi, and A U Siddiqui
Department of Anatomy, Rural Medical College, Pravara Institute of Medical Sciences, Loni, District Ahmednagar, 413 736, India. sdjoshi_2003@hotmail.com

BACKGROUND Information on anatomy of intrahepatic inferior vena cava (IVC) and hepatic vein openings in it is limited. METHODS We studied the retrohepatic segment of IVC and hepatic vein openings in it in 69 livers obtained from cadavers. The retrohepatic portion of the IVC was opened posteriorly by a vertical cut, the exposed surface was divided into 12 quadrants and the position, size, and septation of ostia of hepatic veins and any accessory openings were charted; measurements were made using Vernier calipers. RESULTS The median length of the intrahepatic IVC was 5.7 (range 3.3-8.2) cm and its median diameter was 2.3 (range 1.5-3.0) cm. The superior (major) set of hepatic veins comprised of two veins (right and left-middle) in 45 (65%) cases, three veins (right, middle, and left) in 23 (33%) and four veins in one (2%) case. Median diameter of the right hepatic vein was 1.5 (range 0.8-2.7) cm and that of left hepatic vein was 1.2 (0.7-2.6) cm. Middle hepatic vein, when separate, had a median diameter of 1.1 (range 0.5-1.5) cm. The inferior (minor) set of hepatic veins had two to 16 (median 7) veins. CONCLUSIONS Our data provide information on number, size, position, and septation of hepatic vein openings into the IVC. This information may be useful to hepatologists, hepatic surgeons while planning segmental resection of the liver, and to radiologists planning diagnostic and interventional procedures on hepatic venous system.

UI MeSH Term Description Entries
D007194 India A country in southern Asia, bordering the Arabian Sea and the Bay of Bengal, between Burma and Pakistan. The capitol is New Delhi. Republic of India
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001837 Body Weights and Measures Measurements of the height, weight, length, area, etc., of the human and animal body or its parts. Body Measures,Body Measure,Measure, Body,Measures, Body
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D005260 Female Females
D006503 Hepatic Veins Veins which drain the liver. Hepatic Vein,Vein, Hepatic,Veins, Hepatic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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