Two cases of post‐traumatic inferior vena cava thrombosis

Abstract

Background: Inferior vena cava thrombosis is a rare blunt abdominal trauma complication often associated with severe liver injury.We present two cases of inferior vena cava thrombosis due to mild liver injuries.Case Presentation: Case 1 was a 25-year-old woman taking oral contraceptives for dysmenorrhea who was injured in a motorcycle accident. Contrast-enhanced computed tomography revealed hepatic contusion of the sixth segment. At 1 week after the accident, inferior vena cava thrombosis was detected. Case 2 was a 58-year-old man injured in a motorcycle accident. Contrast-enhanced computed tomography showed traumatic subarachnoid hemorrhage, right hemothorax, and liver injury with hepatic contusion of the sixth segment. At 1 week after the accident, inferior vena cava thrombosis was observed. Conclusion:Inferior vena cava thrombosis can occur following liver injury, regardless of damage severity. When there are thrombogenic factors and damage near the inferior vena cava, follow-up examinations should be carried out.

Angio-Jet Thrombolysis for Traumatic Inferior Vena Cava Thrombosis; Case Report and Review of Literature

“…Chakroun et al, attributed the size and the rapid development of IVC-Th in his case report to the endothelial intimal injury ( 1 ). The hepatic vein thrombosis, associated with liver injury, may extend to the inferior vena cava leading to development of IVC-Th ( 11 , 17 ). The hyper-coagulable and hypo-fibrinolytic state, associated with poly-trauma or due to any other unrelated causes, may lead the IVC-Th.…”

“…Kim et al, reported a successful outcome of conservative management of IVC-Th with a later insertion of an IVC filter. The authors opted for this option based on patient’s hemodynamic stability and the absence of any associated visceral organ injuries ( 11 ).…”

Trombose extensa em veia cava desencadeada por trauma: um relato de caso

“…No trauma abdominal contuso, as quatro causas primárias de trombose de VCI são trombose da veia hepática estendendo-se para a VCI, lesão endotelial da parede da VCI, estase do fluxo caval por compressão com sonda pericaval ou hematoma retroperitoneal e estados hipercoaguláveis e hipofibrinolíticos após trauma maior (MINAMI et al, 2021).…”

“…Alguns fatores predisponentes para trombose venosa após trauma são fratura na perna ou traumatismo craniano, manejo ventilatório por mais de 3 dias, cirurgia de grande porte, idade superior a 40 anos e lesão venosa (MINAMI et al, 2021).…”