Acute Pancreatitis Complicated by Massive Inferior Vena Cava and Right Atrial Thrombosis: A Case Report

Lee, Kangeui; Ko, Jung In; Park, Taejin

doi:10.1016/j.avsg.2015.01.019

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…Three cases of inferior vena cava thrombosis with or without renal vein involvement have been reported in acute pancreatitis. 6-9 A single case of multiple vessel thromboses involving superior vena cava, inferior vena cava, bilateral subclavian, internal jugular vein, axillary, iliac and renal vein have been reported in chronic pancreatitis. 10 Pathogenesis of venous thrombosis is multifactorial in which pancreatic inflammation and systemic inflammatory response play a key role.…”

Section: Discussionmentioning

confidence: 99%

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Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis

Junare

Chandnani

Udgirkar

et al. 2020

Clinics and Practice

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Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable clinical presentations. Splanchnic venous thrombosis is a well-known vascular complication of AP and commonly present as thrombosis of the splanchnic venous system: splenic vein (SplV), portal vein (PV) and superior mesenteric vein (SMV), either separately or in combinations. Involvement of extra-splanchnic vessels is rare and associated with morbidity and mortality. Vascular complications are late phenomena and usually associated with local complications of AP, namely acute fluid collections, necrotizing pancreatitis and walled-off pancreatic necrosis. Pathogenesis of venous thrombosis is multifactorial in which pancreatic inflammation and systemic inflammatory response play a key role. At present, there are no consensus guidelines on treatment and use of anticoagulation for venous thrombosis in the setting of AP. Limited literature suggests the use of anticoagulation in presence of PV with or without SMV thrombosis and extrasplanchnic vessel involvement. Literature on extra-splanchnic vessels involvement in acute pancreatitis is sparse. Here we present two cases with multiple extra-splanchnic vessels involvement and their management.

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Section: Discussionmentioning

confidence: 99%

“…3-5 Literature on extra-splanchnic vessels involvement in acute pancreatitis is sparse. 6-9 Here we present two cases with multiple extra-splanchnic vessels involvement and their management.…”

Section: Introductionmentioning

confidence: 97%

Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis

Junare

Chandnani

Udgirkar

et al. 2020

Clinics and Practice

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“…W omawianym przypadku ciężki przebieg OZT u pacjenta z cukrzycą mógł zatem doprowadzić do powstania skrzepliny w żyle głównej dolnej i prawym przedsionku, mimo stosowanego leczenia enoksaparyną. W literaturze opisano tylko 1 przypadek zakrzepicy żyły głów-nej dolnej z towarzyszącą skrzepliną w prawym przedsionku w przebiegu OZT [6]. Dotyczył on 58-letniego mężczyzny z masywną zakrzepicą żyły głównej dolnej, sięgającej prawego przedsionka i lewej żyły nerkowej, który zmarł mimo stosowanego leczenia (w tym enoksaparyną) [6].…”

Section: Opis Przypadkuunclassified

Right atrial tumour in a patient with acute pancreatitis

Kapłon‐Cieślicka¹,

Kochanowski²,

Ścisło³

et al. 2016

Kardiol Pol

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“…Extrasplanchnic thrombotic complications have been described in the literature. They involve both venous and arterial circulations: pulmonary circulation [5], inferior vena cava (IVC) and renal veins [6, 7], right atrium [8], coeliac axis [9], and renal arteries [10].…”

Section: Introductionmentioning

confidence: 99%

Association of multiple splanchnic venous thrombosis and left renal venous thrombosis, a rare complication of pancreatitis: a case report

et al. 2019

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Background Vascular complications of acute pancreatitis are common. Splanchnic thrombosis accounts for 11% of these complications, whereas extrasplanchnic thrombosis remains a rare entity. These complications are associated with high morbidity and mortality. Diagnosis is established on the basis of clinical and radiological evaluation, especially computed tomography. Renal vein thrombosis has been reported previously, but only in association with thrombosis of the inferior vena cava. To our knowledge, renal vein thrombosis without inferior vena cava thrombosis has never been reported in the literature. We report a case of a woman who developed acute pancreatitis complicated with splanchnic thrombosis and renal vein thrombosis with a patent inferior vena cava. Case presentation A 48-year-old Moroccan woman with no significant past medical history presented to our emergency department with worsening epigastric pain and vomiting. Her physical examination was notable only for moderate epigastric tenderness. She was apyrexic and had no jaundice or any features of liver failure. An initial computed tomographic scan showed Balthazar grade C pancreatitis with multiple splanchnic thromboses involving the portal vein, superior mesenteric vein, and left renal vein and enteromesenteric venous infarct with no signs of bowel perforation. The inferior vena cava was patent. Therapeutic anticoagulation and analgesia were started with resumption of enteral feeding 72 h later. The result of a thrombophilia screen was negative. Two months later, the patient was admitted to the intensive care unit with acute liver failure. Computed tomography of the abdomen showed worsening ischemic liver lesions and no signs of bowel perforation. Biochemical analysis showed acute hepatitis with hepatocellular insufficiency. The clinical evolution was unfavorable, and the patient died 48 h later. Conclusions Association of splanchnic and renal vein thrombosis without inferior vena cava thrombosis as a complication of acute pancreatitis has never been reported before. There are no specific aspects of management of this complication; therapeutic anticoagulation and symptomatic treatment are the main measures used owing to the lack of available organs for liver transplant. The prognosis depends on the consequences of splanchnic thrombosis and their complications. Electronic supplementary material The online version of this article (10.1186/s13256-019-2053-4) contains supplementary material, which is available to authorized users.

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Acute Pancreatitis Complicated by Massive Inferior Vena Cava and Right Atrial Thrombosis: A Case Report

Cited by 5 publications

References 13 publications

Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis

Multiple Extra-Splanchnic Venous Thromboses—An Unusual Vascular Complication of Acute Pancreatitis

Right atrial tumour in a patient with acute pancreatitis

Association of multiple splanchnic venous thrombosis and left renal venous thrombosis, a rare complication of pancreatitis: a case report

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