Abdominal aortic aneurysm with inferior vena cava compression in association with deep venous thrombosis
| Autor: | Elizabeth D. Rutter, Victor O. Kolade, Ryan D. Moore, Shadi M. Ayyoub, Daniel R. Zapko |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Vena Cava Inferior Inferior vena cava Venous stasis Aortic aneurysm Aneurysm medicine Humans cardiovascular diseases Left lower extremity Venous Thrombosis Leg Ultrasonography Doppler Duplex business.industry Ultrasound General Medicine Middle Aged medicine.disease Abdominal aortic aneurysm Surgery Venous thrombosis medicine.vein cardiovascular system Radiology business Tomography X-Ray Computed Aortic Aneurysm Abdominal |
| Zdroj: | The American journal of the medical sciences. 346(6) |
| ISSN: | 1538-2990 |
| Popis: | Deep venous thrombosis (DVT) of the lower extremity may be caused by external compression of the inferior vena cava (IVC) by a neighboring mass. A 55-year-old male presented with 8 months of intermittent left lower extremity swelling and signs of chronic venous stasis. Duplex ultrasound showed extensive DVT in the left leg. Subsequent imaging revealed a 4.2 cm infrarenal abdominal aortic aneurysm (AAA) compressing the IVC. In cases of chronic, unilateral DVT, work-up should include imaging for an anatomic cause. AAA is a rare cause of IVC compression with DVT, and is most commonly related to inflammatory AAAs. Previously reported cases of IVC compression by non-inflammatory AAAs have been secondary to large aneurysms (greater than 6 cm). This case illustrates that smaller AAAs lacking hemodynamically significant IVC obstruction may be found in association with DVT. |
| Databáze: | OpenAIRE |
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