Double venous compression due to duplicated inferior vena cava-induced right common iliac vein thrombosis
| Autor: | Yuichi Mukai, Toshiro Suzuki, Shuhei Nozawa |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Chest Pain
medicine.medical_specialty Pyridines Deep vein Vena Cava Inferior Constriction Pathologic Iliac Vein 030204 cardiovascular system & hematology Inferior vena cava Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences Nutcracker syndrome 0302 clinical medicine Humans Medicine Thrombolytic Therapy cardiovascular diseases Thrombus Venous Thrombosis business.industry General Medicine Middle Aged medicine.disease Thrombosis Reminder of Important Clinical Lesson Surgery Pulmonary embolism Thiazoles Treatment Outcome medicine.anatomical_structure medicine.vein cardiovascular system Female medicine.symptom Tomography X-Ray Computed business Common iliac vein Factor Xa Inhibitors |
| Zdroj: | BMJ Case Reports. :bcr-2017 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2017-223610 |
| Popis: | Venous compression syndromes are caused by extrinsic venous compression of anatomical structures, such as the adjacent arteries and bones. Chronic venous compression and pulsative vibratory arterial pressure accelerate the development of deep vein thrombosis. Herein, we report the first case of double venous compressions due to a duplicated inferior vena cava-induced right-sided common iliac vein thrombosis. The thrombus was induced by left-sided inferior vena cava entrapment and right-sided common iliac vein compression, resembling nutcracker syndrome and May-Thurner syndrome, respectively. Bypass flow of the right inferior vena cava rendered the right lower extremity asymptomatic. Once daily anticoagulation edoxaban was effective. Congenital venous anomalies and bypass formations should be considered when a common iliac vein thrombus without symptoms in the lower extremities is observed, and a lifelong periodical follow-up is mandatory, even after remission. |
| Databáze: | OpenAIRE |
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