right renal vein was single, and had a normal course.
Duplicated left renal vein (arrows)
Variation was also noted in the hepatic vein system. The right and middle hepatic veins were duplicated. The left hepatic vein was triplicated or had an additional large component reaching the external branch. All these branches formed a short common trunk draining into the IVC (Fig. 5).
Triplicated left hepatic vein (confluence of the branch marked with an arrow)
Journal of Ultrasonography , ISSUE 78, 236–239
. Hepatic veins distention with pathological reverse fl ow during systole was reported. Additionally, inferior vena cava was dilated and remained unchanged through the respiratory cycle. Basing on the above image a heart disease, which had not been taken into differential diagnosis before, was suggested. The following echocardiography, together with computed tomography, enabled a diagnosis of constrictive pericarditis. Successful pericardiotomy was performed. Such a complicated diagnostics happened to
Journal of Ultrasonography , ISSUE 61, 227–230