A male infant was born at 29 weeks of gestation with a birth weight of 1448 g and admitted to our NICU for management of very low birth weight. A peripherally inserted central catheter (PICC) was placed in the right lower limb on the same day, which showed an abnormal course, passing through the left side of the spine once toward right atrium (Fig. 1), then we suspected an anomaly of the inferior vena cava (IVC). Contrast-enhanced CT was performed on day 69 of life at the request of the parents to confirm the diagnosis of vascular malformation. The IVC was found to run to the left of the spine once, and run to the normal side near the confluence of the left renal vein (Fig. 2). This result led to the diagnosis of left IVC. We explained the possible complications of left IVC, and discharged the patient home on day 78 of life.
Fig. 1
Chest and abdominal X-ray on the day of birth
Fig. 2
3D image of the venous system created from a contrast-enhanced CT scanon day of life 69
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