DOI: https://doi.org/10.36347/sjmcr.2026.v14i11.014

Pages: 2462-2464

Partial anomalous pulmonary venous return (PAPVR) is an uncommon congenital vascular anomaly in which one or more pulmonary veins bypass the left atrium and empty instead into the systemic venous system, producing a left-to-right shunt [1,2]. When the anomaly affects the right lung, drainage may occur into the superior vena cava, right atrium, inferior vena cava, azygos vein, hepatic vein, or portal vein. Diagnosis has traditionally relied on transthoracic or transoesophageal echocardiography and catheter angiography [2,3]. Echocardiography is attractive because it is portable and avoids ionising radiation, but visualisation of the pulmonary veins is not always adequate, and angiography, while accurate, carries the drawbacks of an invasive procedure. Multi-detector computed tomography (MDCT) offers a reliable, non-invasive alternative that can also reveal coexisting vascular anomalies in the same study [5,6,9]. We describe a patient in whom PAPVR and a variant celiac trunk anatomy were both discovered incidentally on MDCT performed for an unrelated pulmonary complaint.