Idiopathic Thrombosis of the Inferior Vena Cava and Bilateral Femoral Veins in an Otherwise Healthy Male Soldier

Gordon, Sarah M.; Kerns, Tamie; Londeree, William; Ching, Brian

doi:10.1155/2013/246201

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Renal vein outflow obstruction may result in renal insufficiency, proteinuria, and hematuria. 47,[49][50][51] Similarly, if the obstruction involves the hepatic veins, symptoms of Budd-Chiari may occur including abdominal pain, hepatomegaly, and ascites, as well as splenomegaly, abdominal wall varices, and lower extremity swelling. While obstruction of hepatic venous drainage from any cause, including malignancy, is termed Budd-Chiari syndrome, the subtype secondary to hepatic IVC obstruction is termed hepatic vena cava Budd-Chiari syndrome.…”

Section: Inferior Vena Cava Obstructionmentioning

confidence: 99%

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Friedman

Quencer

Kishore

et al. 2017

Semin intervent Radiol

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Venous obstruction in the cancer population can result in substantial morbidity and, in extreme cases, mortality. While venous obstruction can be caused by both benign and malignant etiologies in this population, the management of malignant venous obstruction as a palliative measure can be somewhat nuanced with respect to nonprocedural and procedural management, both with respect to treatment of the underlying malignancy as well as treatment of venous hypertension, which may be associated with venous thrombosis. Symptom severity, primary malignancy, functional status, and prognosis are all fundamental to the patient workup and dictate both the timing and extent of endovascular intervention. The morbidity and mortality associated with malignant obstructions of central venous structures, specifically the superior vena cava and inferior vena cava, can be significantly improved with endovascular management in appropriately selected patients. Thus, the pertinent literature regarding the clinical presentation, workup, and endovascular management of malignant central venous obstruction syndromes, with directed attention to superior vena cava syndrome and inferior vena cava syndrome, will be reviewed in this article.

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Section: Inferior Vena Cava Obstructionmentioning

confidence: 99%

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Friedman

Quencer

Kishore

et al. 2017

Semin intervent Radiol

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“…An IVC thrombus mimics the pathophysiology of DVT [ 9 ]. Virchow’s triad, named after clinician and researcher Rudolf Virchow who worked on thrombosis in the 1800s, describes three categories that contribute to venous clot formation.…”

Section: Discussionmentioning

confidence: 99%

Duplicated Inferior Vena Cava Thrombosis Mimicking Acute Pancreatitis in a COVID-19 Patient

Costanzo¹,

Karki²,

Pando³

et al. 2023

Cureus

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An 86-year-old woman with a recent hospitalization for severe coronavirus disease 2019 (COVID-19) infection presented to the emergency department with abdominal discomfort and bilateral leg swelling. She was mildly tachycardic on physical exam, with superficial abdominal vessel dilation and bilateral lower extremity edema. Her laboratory results were significant for a mildly elevated lipase of 260 U/L (normal range: 0-160 U/L) and a positive COVID-19 PCR test. CT of the abdomen and pelvis did not show any pancreatic abnormality but revealed a duplicated inferior vena cava (IVC) with a thrombus located in the right IVC. The patient was subsequently placed on full-dose anticoagulation with the eventual achievement of clot lysis. It appears that the incidence of thrombosis, including IVC thrombosis, has been on the rise due to COVID-19-associated coagulopathy; therefore, a high index of clinical suspicion in these cases may prove to be lifesaving.

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Previous vena cava occlusion as the cause of a bilateral iliofemoral thrombosis

Mühlberger¹,

Burkert²,

Regeniter³

et al. 2016

Phlebologie

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SummaryA case of bilateral iliofemoral thrombosis in a 17-year-old [male] patient is presented. It was only revealed during bilateral transfemoral thrombectomy that the thrombosis was due to previous inferior vena cava occlusion. This required a complex interventional reconstruction of the vena cava with secondary stenting of both renal veins. The postoperative venogram showed blood outflow from the left renal vein into the portal vein and from the right renal vein into the inferior vena cava via collaterals. At follow-up presentation, the patient was asymptomatic with normal findings on computed tomography scanning.

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Idiopathic Thrombosis of the Inferior Vena Cava and Bilateral Femoral Veins in an Otherwise Healthy Male Soldier

Cited by 3 publications

References 12 publications

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Malignant Venous Obstruction: Superior Vena Cava Syndrome and Beyond

Duplicated Inferior Vena Cava Thrombosis Mimicking Acute Pancreatitis in a COVID-19 Patient

Previous vena cava occlusion as the cause of a bilateral iliofemoral thrombosis

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