Inferior Vena Cava Compression Caused by a Retroperitoneal Hematoma Following an Abdominal Aortic Aneurysm Rupture

Abstract

This report presents the case of a 43-year-old man with inferior vena cava (IVC) compression caused by a retroperitoneal hematoma following an abdominal aortic aneurysm (AAA) rupture. Preoperative computed tomography scans revealed an infrarenal AAA with a retroperitoneal hematoma nearly occluding the IVC. After emergency aortic grafting, IVC thrombosis, deep venous thrombosis (DVT), and pulmonary thromboembolism (PTE) arose. Anticoagulation therapy resolved these thrombotic complications. Disappearance of the hematoma and IVC recanalization were confirmed 3 months postoperatively. Although IVC compression caused by a retroperitoneal hematoma is temporary, careful attention should be paid to IVC thrombosis, DVT, and PTE as possible complications.

Left testicular venous infarction secondary to large spontaneous retroperitoneal haematoma compressing left testicular vein: a case report

“…These include pelvic or femoral neuropathy, bowel obstruction, obstructive uropathy, abdominal compartment syndrome and persistent pain 3. Large RPH can also cause compression on various retroperitoneal venous structures including the renal veins and the inferior vena cava 5 6. The testicular vein is a structure that could be potentially obstructed due to its anatomical course within the retroperitoneum; however, there have been no reported cases of this complication in the literature.…”