Koppisetty S, Smith AG, and Dhillon RK. Incidental finding of inferior vena cava atresia presenting with deep venous thrombosis following physical exertion. Case Rep Emerg Med 2015; 2015:146304.
Case Rep Emerg Med
Inferior vena cava atresia (IVCA) is a rare but well described vascular anomaly. It is a rare risk factor for deep venous thrombosis (DVT), found in approximately 5% of cases of unprovoked lower extremity (LE) DVT in patientsthirties, predominantly male, often with a history of major physical exertion and presents with extensive or bilateral DVTs. Patients with IVC anomalies usually develop compensatory circulation through the collateral veins with enlarged azygous/hemizygous veins. Despite the compensatory circulation, the venous drainage of the lower limbs is often insufficient leading to venous stasis and thrombosis. We describe a case of extensive and bilateral deep venous thrombosis following physical exertion in a thirty-six-year-old male patient with incidental finding of IVCA on imaging.
Medical Subject Headings
Humans; Shock, Septic