Accessory right inferior hepatic vein

Case contributed by Masoud Farhadi
Diagnosis certain

Presentation

Multiple trauma.

Patient Data

Age: 20 years
Gender: Female

Because of inferior vena caval contrast reflux, the accessory right inferior hepatic vein is clearly seen.

Other findings are bilateral pulmonary contusions, comminuted burst fractures of the L1 vertebra, rib fractures, and right pneumothorax.

Case Discussion

This is an incidental identification of the accessory right inferior hepatic vein, which is the most common variation of the hepatic veins.

It drains the posterior part of the right lobe directly to the inferior vena cava.

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