Ductal agenesis with infrahepatic connection to the IVC

Alberto Sosa Olavarria, MD

Ductal agenesis with infrahepatic connection to the IVC

Alberto Sosa Olavarria, MD

Perinatology Unit, Carabobo University, Valencia รขโ‚ฌโ€œ Venezuela

This a third trimester fetus with ductal agenesis and infrahepatic connection to the inferior vena cava. (This is the form #3 in the discussion of the various forms of ductal agenesis).

Axial and coronal views of the distended inferior vena cava:

vena cava
vci___vcs

Color Doppler demonstrate the direct flow of the umbilical vein into the inferior vena cava:

vena umbilical en vena cava
ausencia de ductus venoso

And the distended inferior vena cava (note that it is larger then the aorta):

vci y vcs dilatada
vena cava ant y ao

Note that this baby also has clinodactyly in one hand...

clinodctilia

... and a scrotum bifidum.

escroto bifido

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