An usual case of bilateral deep venous thrombosis with associated pulmonary embolus.
Hannah PlumptreMarilena GiannoudiJohn KurianPublished in: Oxford medical case reports (2022)
Congenital absence of the inferior vena cava (IVC) triggers collateral vessel growth to drain the peripheries and abdominal organs. This causes venous stasis and increases the risk of deep vein thrombosis (DVT) and pulmonary embolism. Typically, patients with absent IVCs present before 30 years of age, with bilateral DVT symptoms triggered by intense exercise. The abnormality can remain undetected as computed tomography imaging is not usually performed. Due to the increased risk of clotting, these patients should be on life-long anticoagulation. Raising clinical awareness of this condition, to ensure appropriate investigations and treatment, is important.
Keyphrases
- inferior vena cava
- pulmonary embolism
- computed tomography
- vena cava
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- high resolution
- pulmonary hypertension
- peritoneal dialysis
- case report
- magnetic resonance imaging
- venous thromboembolism
- high intensity
- patient reported outcomes
- magnetic resonance
- body composition
- sleep quality
- image quality
- patient reported
- contrast enhanced