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Anomaly of the inferior vena cava and lactose malabsorption

Journal: Phlebologie
ISSN: 0939-978X
DOI: https://doi.org/10.12687/phleb2285-1-2016
Issue: 2016 (Vol. 45): Issue 1 2016 (1–68)
Pages: 36-39

Anomaly of the inferior vena cava and lactose malabsorption

Online Supplementary Material

W. J. Schnedl (1), P. Kalmar (2), S. J. Wallner-Liebmann (3), G. Reiter (4), H. Mangge (5), R. W. Lipp (6)

(1) Practice for General Internal Medicine, Bruck, Austria; (2) Department of Radiology, Medical University of Graz, Austria; (3) Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Austria; (4) Siemens Healthcare Austria, Research & Development, Graz, Austria; (5) Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Austria; (6) Department of Internal Medicine, Medical University of Graz, Austria

Keywords

Magnetic Resonance Imaging, Inferior vena cava anomaly, nonspecific abdominal complaints, lactose malabsorption

Summary

Patients with anomalies of the inferior vena cava (IVC) are rare, are usually asymptomatic and this developmental anomaly is detected during radiologic evaluation of deep vein thrombosis or incidentally during abdominal radiologic evaluation. We report on time resolved three-dimensional magnetic resonance angiography (4D MRA) in a patient with congenital anomaly of the IVC and nonspecific abdominal complaints. 4D MRA is shown for evaluation and detailed diagnosis in vascular venous anatomy. However, due to continuing bloating and irregular bowel movements we investigated carbohydrate malabsorption and a lactose malabsorption was diagnosed. The nonspecific abdominal complaints in this patient with IVC anomaly were due to lactose malabsorption and were treated successfully with a lactose-free diet.

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