Duplication of the inferior vena cava with thrombotic complication: incidentally detected

2020 ◽  
Vol 13 (9) ◽  
pp. e232307
Author(s):  
Fode Bangaly Oulare ◽  
Robert Karl Josef Clemens ◽  
Thomas Pfammatter ◽  
Thomas Oleg Meier
Keyword(s):  
Image Analysis ◽  
Inferior Vena Cava ◽  
Clinical Manifestation ◽  
Inferior Vena ◽  
Vena Cava ◽  
Thrombotic Complication ◽  
Caval Vein ◽  
Vein Thrombosis ◽  
The Right

Although the duplication of the inferior vena cava (IVCD) is usually clinically silent and often detected incidentally by image analysis, it may have important relevance during retroperitoneal surgery and endovenous procedures. Furthermore, IVCD may represent the primary provocating factor of unilateral iliofemoral vein thrombosis in patient with hypoplasia or thrombosis of one of the caval veins. This was the case in a 37-year-old man with acute painful swelling of the right leg. The patient was treated successfully by endovenous reconstruction of the occluded caval vein. A review of the pathophysiology, clinical manifestation and treatment of the IVCD is provided here.

CLINICAL CASE: THROMBOSIS OF THE RIGHT OVARIAN VEIN WITH SPREAD TO THE INFERIOR VENA CAVA IN THE PUERPERAL WOMAN

Vestnik ◽  
2021 ◽  
pp. 5-8
Author(s):  
Г.Ж. Бодыков ◽  
Т.В. Маслов ◽  
Г.Н. Балмагамбетова ◽  
У.А. Хакиев
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Clinical Laboratory ◽  
Vena Cava ◽  
Thrombotic Complication ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Treatment And Prevention ◽  
Abdominal Organs ◽  
The Right

Тромбоз правой яичниковой вены с распространением на нижнюю полую вену является крайне редким, но не казуистическим случаем венозного тромбоза во время беременности. В литературе имеются весьма ограниченные описания отдельных клинических случаев данного тромботического осложнения. Цель: привлечь внимание акушер-гинекологов и ангиохирургов к своевременной диагностике, лечению и профилактике тромбозов в период беременности и в послеродовом периоде. Материалы и методы: С целью диагностики данной патологии было проведено полное клинико-лабораторное обследование, ультразвуковое исследование органов брюшной полости и ультразвуковая допплерография нижней полой вены. Результаты: На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз: Тромбоз правой яичниковой вены с распространением на нижнюю полую вену и флотацией головки тромба. Выводы: Метод селективного тромболизиса при тромбозе правой яичниковой вены с распространением на нижнюю полую вену в сочетании с имплантацией кава-фильтра в нижнюю полую вену в ургентной клинической практике действительно показал себя эффективным методом борьбы с осложнениями тромбозов нижней полой вены. Thrombosis of the right ovarian vein with spread to the inferior vena cava is an extremely rare, but not a casuistic case of venous thrombosis during pregnancy. In the literature, there are very limited descriptions of individual clinical cases of this thrombotic complication. Objective: to attract the attention of obstetricians-gynecologists and angiosurgeons to the timely diagnosis, treatment and prevention of thrombosis during pregnancy and in the postpartum period. Materials and methods: In order to diagnose this pathology, a complete clinical and laboratory examination, ultrasound examination of the abdominal organs and ultrasound Dopplerography of the inferior vena cava were performed. Results: Based on the assessment of the anamnesis, clinical-laboratory and instrumental methods of examination, the diagnosis was made: Thrombosis of the right ovarian vein with spread to the inferior vena cava and flotation of the head of the thrombus. Conclusions: The method of selective thrombolysis for right ovarian vein thrombosis with spread to the inferior vena cava in combination with the implantation of a cava filter in the inferior vena cava in urgent clinical practice has really proved to be an effective method of combating complications of inferior vena cava thrombosis.

scholarly journals Pulmonary Embolism due to Inferior Vena Cava Compression by a Retroperitoneal Hematoma after Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Kota Shukuzawa ◽  
Naoki Toya ◽  
Yasutake Momokawa ◽  
Soichiro Fukushima ◽  
Tadashi Akiba ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Aortic Aneurysm ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Cardiopulmonary Arrest ◽  
Endovascular Aneurysm Repair ◽  
Vena Cava ◽  
Vein Thrombosis ◽  
The Right ◽  
Aneurysm Repair

We report a case of a patient with a residual hematoma compressing the inferior vena cava after endovascular aneurysm repair (EVAR), which led to a pulmonary embolism (PE). A 65-year-old man underwent emergent EVAR for a ruptured aortic aneurysm in the right retroperitoneal region. He developed sudden chest pain at midnight of the fifth day after EVAR, and computed tomography demonstrated a massive PE. He subsequently went into cardiopulmonary arrest. This case suggested that abdominal complications due to a residual hematoma, including deep vein thrombosis and PE, should be considered in addition to compartment syndrome.

scholarly journals A black esophagus as a result of treatment of inferior vena cava occlusion by a massive pelvic schwannoma

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Yazan N AlJamal ◽  
Jacob J Billings ◽  
Eric J Dozios
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Delayed Diagnosis ◽  
Vena Cava ◽  
Pelvic Mass ◽  
Vein Thrombosis ◽  
Black Esophagus ◽  
Inferior Vena Cava Occlusion ◽  
The Right ◽  
Deep Vein

Abstract This case presentation involves a 57-year-old-male who suffered multiple adverse sequels from the delayed diagnosis of a large presacral mass. He initially presented with lower extremity deep vein thrombosis (DVT). Several months later, he had developed a pulmonary embolus. Imaging demonstrated a 13 × 14 cm presacral pelvic mass that occluded the right-sided venous return from the leg and caused the DVT and pulmonary embolism. An inferior vena cava filter was placed and eventually clotted. He then was referred to our institution for surgical consultation. The patient received lytic therapy and unfortunately developed hematemesis and a significant hemoglobin drop. An esophagogastroduodenoscopy (EGD) showed a black esophagus. A transthoracic echocardiogram showed a patent foramen ovale. The patient eventually stabilized and a repeat EGD a week later showed resolution of the ischemic esophagus. The patient later underwent a resection of the pelvic mass. The surgical approach and the surgical decision-making will be discussed.

scholarly journals Absence of Infrarenal Portion of the Inferior Vena Cava With Acute Lower Extremities Venous Thrombosis: A Case Report

2021 ◽  
Author(s):  
Susan Mohammadi ◽  
Nastaran Hesam Shariati ◽  
Fardin Fathi ◽  
Siamak Arshadi ◽  
Fahimeh Rajabi ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Superficial Vein ◽  
Vein Thrombosis ◽  
Abdominal And Pelvic Pain ◽  
The Right ◽  
Deep Vein

A lack of congenital Inferior Vena Cava (IVC) is an uncommon malformation that has been identified in combination with idiopathic Deep Venous Thrombosis (DVT), exclusively. It may not even be revealed during the lifetime. A 63-year-old female was accepted with three months of abdominal and pelvic pain and localized edema on the right flank. During this admission, she was examined and recognized for deep vein thrombosis (DVT). Ct scan images showed a lack of the Inferior Vena Cava with enormous thrombosis collaterals of the superficial vein in the abdomen. In this case report, we report a woman with side pain who has an absence of the IVC.  

Ovarian vein thrombosis in the postnatal period

2021 ◽  
Vol 14 (6) ◽  
pp. e243872
Author(s):  
Louise Dunphy ◽  
Aie Wei Tang
Keyword(s):  
Abdominal Pain ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Elective Caesarean Section ◽  
Vena Cava ◽  
Lower Abdominal Pain ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
The Right ◽  
Ovarian Vein Thrombosis

Although ovarian vein thrombosis (OVT) is classically considered a puerperal pathology, it can also occur in nonpuerperal settings such as endometritis, pelvic inflammatory disease, Crohn’s disease, pelvic or gynaecological surgeries and thrombophilia. Hypercoagulation conditions such as antiphospholipid syndrome, systemic lupus erythematosus, factor V Leiden and protein C and S deficiency are all recognised risk factors. It is also a known complication during pregnancy often presenting with fever and lower abdominal pain within weeks after delivery. Its incidence is exceedingly rare, occurring in 0.05% of all pregnancies that result in live births and peaking around 2–6 days after delivery. Its preferential involvement of the right ovarian vein may be explained by the compression of the inferior vena cava and the right ovarian vein due to dextrorotation of the uterus during pregnancy. Furthermore, antegrade flow of blood and multiple incompetent valves in the right ovarian vein favours bacterial infection. Complications may include sepsis and thrombus extension to the inferior vena cava or left renal vein and rarely, pulmonary embolism. The authors present the case of a 27-year-old woman with lower abdominal pain 5 weeks after an elective caesarean section. Although the diagnosis of postpartum endometritis was initially considered, a CT suggested a right OVT. She commenced treatment with low-molecular weight heparin. A high index of clinical suspicion is required in order to establish the diagnosis of this rare cause of abdominal pain, which can mimic an acute abdomen.

Die Aplasie der Vena cava inferior als Ursache rezidivierender Bein- und Beckenvenenthrombosen

VASA ◽  
1999 ◽  
Vol 28 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Tiesenhausen ◽  
Amann ◽  
Thalhammer ◽  
Aschauer
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Heart Defects ◽  
Vena Cava ◽  
Clinical Signs ◽  
Vena Cava Inferior ◽  
Caval Vein ◽  
Rare Finding ◽  
Thrombotic Complications ◽  
Asplenia Syndrome

Congenital anomalies of the caval vein are often associated with other abnormities such as heart defects, situs inversus or a polysplenia-asplenia-syndrome. An isolated, congenital malformation like aplasia of the inferior vena cava is a rare finding. A review of the embryology and abnormities, diagnostics, clinical signs and treatment is given together with the histories of two patients having thrombosis of the lower extremities and pelvic veins, caused by aplasia of the inferior vena cava. After thrombotic complications caused by vena cava aplasia there is high risk of recurrence. Those patients should be anticoagulated for lifetime.

Retroperitoneal Laparoscopic-Assisted Retrieval of Wall-Penetrating Inferior Vena Cava Filter After Endovascular Techniques Failed: An Initial Clinical Outcome

2021 ◽  
pp. 153857442110225
Author(s):  
Haidong Wang ◽  
Zhenhua Liu ◽  
Xiaofei Zhu ◽  
Jianlong Liu ◽  
Libo Man
Keyword(s):  
Deep Vein Thrombosis ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Ivc Filter ◽  
Endovascular Techniques ◽  
Vein Thrombosis ◽  
Ivc Filters ◽  
Laparoscopic Assisted ◽  
Deep Vein

Background: Inferior vena cava (IVC) filters are commonly used in China to prevent pulmonary embolisms in patients with deep vein thrombosis. However, IVC filter removal is complicated when the filter has penetrated the IVC wall and endovascular techniques usually fail. The purpose of this study was to evaluate the effectiveness and safety of retroperitoneal laparoscopic-assisted retrieval of wall-penetrating IVC filters after endovascular techniques have failed. Patients and Methods: We retrospectively evaluated a series of 8 patients who underwent retroperitoneal laparoscopic-assisted retrieval of a wall-penetrating IVC filter between December 2017 and November 2019. All patients had experienced at least 1 failure with endovascular retrieval before the study. The filters were slanted and the proximal retrieval hooks penetrated the posterior lateral IVC wall in all patients on computed tomography. Demographic information, operation parameters, and complications were recorded and analyzed. All patients were followed up for at least 12 months. Results: The procedure was successful in all patients. The median surgery time was 53.6 ± 12.7 min and the average blood loss was 45.0 ± 13.5 ml. No serious complication occurred during the patients’ hospitalization, which was an average of 6.4 days. The median follow-up time was 15.1 months, and no patient had deep vein thrombosis recurrence. Conclusions: Retroperitoneal laparoscopic-assisted retrieval is a feasible and effective technique, particularly when proximal retrieval hooks penetrate the posterior lateral wall of the IVC after endovascular techniques have failed. To some extent, the development of this technique at our institution has increased the success rate of filter removal and improved patient satisfaction.

scholarly journals Emphysematous pyelonephritis with air bubble in the inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem
Keyword(s):  
Septic Shock ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Presentation ◽  
Emphysematous Pyelonephritis ◽  
Case Presentation ◽  
Air Bubble ◽  
First Case ◽  
The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

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