Akute Becken-Beinvenenthrombose bei Agenesie des renalen Segments der Vena cava inferior

Körber, Thomas; Petzsch, Michael; Placke, Jens; Ismer, B.; Schulze, C.

doi:10.1007/s003920170212

Cited by 13 publications

(3 citation statements)

References 11 publications

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“…19 Regarding the duration of anticoagulation, there are no conclusive studies to opt for a specific duration, however longterm anticoagulation has the greatest acceptance, especially given the high rate of DVT recurrence when anticoagulation is stopped. 20 Thrombolysis has also been described, but this technique is currently obsolete because of high recurrence rates. 17 There are reported cases in which patients were treated by open surgery with a venous bypass with successful results, but it is not a widely used treatment option because of the limited experience with the technique and the lack of long-term results.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of deep vein thrombosis: inferior vena cava agenesis

Peruyera

Vázquez

2023

J. vasc. bras.

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Inferior vena cava agenesis is a rare condition and is often misdiagnosed. This anomaly is asymptomatic in the majority of cases and is usually diagnosed during imaging tests carried out for other purposes. The most frequent manifestation is deep vein thrombosis (DVT) in lower limbs and anticoagulation therapy is the most frequent treatment option. Other techniques such as thrombolysis and venous bypass are also described. We report two cases diagnosed at our institution during the last year, both of which presented with an episode of DVT. We opted for indefinite anticoagulation therapy and both patients remain asymptomatic, after 1 year of surveillance in the first case and 6 months in the second, with no new episodes of DVT. Although it is not a life-threatening anomaly, it is important to make an appropriate diagnosis and provide treatment to improve the symptoms and quality of life of these patients.

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Section: Discussionmentioning

confidence: 99%

A rare cause of deep vein thrombosis: inferior vena cava agenesis

Peruyera

Vázquez

2023

J. vasc. bras.

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“…Die wichtigsten Fehlbildungen der Vena cava inferior sind die Linkslage (0,2-0,5%), die Doppelung (0,2-3%), die Agenesie bzw. Hypoplasie (<0,3%) und die Fehlmündung (<0,1%; [3]). Die weitaus häufigeren membranösen Verschlüsse werden meist dem Budd-Chiari-Syndrom zugerechnet [6].…”

Section: Missbildungsformen Der Vena Cava Inferiorunclassified

“…Symptomatisch wurde der Patient wahrscheinlich aufgrund einer Myelonkompression durch die stark erweiterten spinalen Venenplexus und daraus resultierender belastungsunabhängiger Rücken-schmerzen [2]. Jedoch können sich bei den betroffenen Patienten auch belastungsabhängige Beschwerden, hervorgerufen durch Kollateralinsuffizienzen oder Nervenkompressionen, einstellen [3]. Klinisch imponierte lediglich eine Erweiterung der oberflächlichen Beinvenen, was Beidseitige Becken-und Beinvenenthrombose bei einem 18-jährigen Patienten Zusammenfassung Bei einem 18-jährigen Patienten mit lumbalen Rückenschmerzen wurde im Rahmen einer Kernspintomographie der Lendenwirbelsäule zum Ausschluss eines Nervenkompressionssyndroms eine beidseitige Beckenvenenthrombose entdeckt.…”

Section: Initiales Symptom: Lumbagounclassified

Both-sided iliac vein thrombosis in a 18-year old patient with lumbago

et al. 2007

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A MRI of the lumbal spine was performed on a patient with lumbago. Besides the fact of no evidence for a myelopathy caused by a herniated disc a both-sided iliac vein thrombosis could be seen. In further examination the coincidence of a congenital absence of vena cava inferior with distinctive collateral vessel systems over lumbal and spinal veins and heterozygosis for Factor V Leiden abnormality could be identified as cause for thrombosis. It is very likely that symptoms developed as a result of spinal vein hyperplasia and consecutive myelon compression.

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