![]() ![]() Duplication of IVC is a rare congenital anomaly resulting from persistence of the left supracardinal vein during foetal development. Another approach is 131I scintigraphy of the adrenal gland after dexamethasone suppression the uptake of tracer is increased in patients with aldosteronoma and absent in those with idiopathic bilateral hyperplasia or adrenal carcinoma. MRI and MRA, or computed tomography, can detect most aldosteronomas. Localization of the abnormal adrenal gland can be achieved in various ways. The presence of mineralcorticoid excess should be considered in any weak patient presented with hypertension, hypokalaemia and metabolic alkalosis. MRI and MRA showed ( A) a right adrenal adenoma (arrow), ( B) horseshoe kidney, with smaller right and enlarged left kidneys (arrow) and ( C) duplicated IVC. ![]()
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