Common And External Iliac Artery Agenesis And Absence Of The Infrarenal Vena Cava Combined With Other Congenital Anomalies Incidentally Discovered During MDCT Evaluation Of Pelvic Varicocele.

We present a case of an 18 year-old woman with previous history of congenital cardiopathy, surgically treated in the infancy, referred for multidetector-row CT (MDCT) evaluation of chronic pelvic pain. Pelvic congestion syndrome caused by pelvic varicocele was demonstrated and multiple congenital anomalies (agenesis of the left common and external iliac artery, absence of the infrarenal vena cava, septate uterus and congenital spinal malformations including a thoracic butterfly vertebra, coccygeal agenesis and sacral hypoplasia) were incidentally discovered. To our knowledge, such a combination of congenital anomalies has not previously been documented in the literature.