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Management of inferior vena cava thrombosis after blunt liver injury.

Kim KY, So BJ, Park DE - Korean J Hepatobiliary Pancreat Surg (2014)

Bottom Line: Inferior vena cava (IVC) thrombosis after traumatic liver injury is an extremely rare condition, and only 12 cases have been reported in the English literature since 1911.The patient denied any symptoms of thrombophlebitis and did not have any evidence of hypercoagulable state.We placed an IVC filter via the right jugular vein and started the anticoagulation treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Wonkwang University School of Medicine, Iksan, Korea.

ABSTRACT
Inferior vena cava (IVC) thrombosis after traumatic liver injury is an extremely rare condition, and only 12 cases have been reported in the English literature since 1911. We report a case of a 26-year-old man who presented with IVC thrombosis after blunt liver injury. IVC thrombosis was incidentally detected by computed tomography 15 days after conservative management of blunt liver injury. The patient denied any symptoms of thrombophlebitis and did not have any evidence of hypercoagulable state. We placed an IVC filter via the right jugular vein and started the anticoagulation treatment. The patient recovered successfully without operative treatment and IVC thrombosis disappeared completely two months later. We suggest that that the possibility of IVC thrombosis should be considered in patients with a large hematoma of the liver, which may cause compression of the IVC.

No MeSH data available.


Related in: MedlinePlus

A repeat abdominal CT on the follow-up day 15 showing significant improvement in hepatic laceration (A) and a large free-floating thrombus in the IVC (white arrow) (B).
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Figure 3: A repeat abdominal CT on the follow-up day 15 showing significant improvement in hepatic laceration (A) and a large free-floating thrombus in the IVC (white arrow) (B).

Mentions: A repeat abdominal CT on day 15 demonstrated considerable improvement in hepatic laceration and hematoma, but a large thrombus in the IVC (about 10 cm in length, from L1 to L5 spines) was detected (Fig. 3). The patient did not show any symptoms and signs of thrombophlebitis such as bilateral leg edema, skin color changes, and pain except for vague nonspecific upper abdominal pain. For evaluation of any hypercoagulable state, the specific blood test was performed, but no evidence of hypercoagulability was obtained.


Management of inferior vena cava thrombosis after blunt liver injury.

Kim KY, So BJ, Park DE - Korean J Hepatobiliary Pancreat Surg (2014)

A repeat abdominal CT on the follow-up day 15 showing significant improvement in hepatic laceration (A) and a large free-floating thrombus in the IVC (white arrow) (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492325&req=5

Figure 3: A repeat abdominal CT on the follow-up day 15 showing significant improvement in hepatic laceration (A) and a large free-floating thrombus in the IVC (white arrow) (B).
Mentions: A repeat abdominal CT on day 15 demonstrated considerable improvement in hepatic laceration and hematoma, but a large thrombus in the IVC (about 10 cm in length, from L1 to L5 spines) was detected (Fig. 3). The patient did not show any symptoms and signs of thrombophlebitis such as bilateral leg edema, skin color changes, and pain except for vague nonspecific upper abdominal pain. For evaluation of any hypercoagulable state, the specific blood test was performed, but no evidence of hypercoagulability was obtained.

Bottom Line: Inferior vena cava (IVC) thrombosis after traumatic liver injury is an extremely rare condition, and only 12 cases have been reported in the English literature since 1911.The patient denied any symptoms of thrombophlebitis and did not have any evidence of hypercoagulable state.We placed an IVC filter via the right jugular vein and started the anticoagulation treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Wonkwang University School of Medicine, Iksan, Korea.

ABSTRACT
Inferior vena cava (IVC) thrombosis after traumatic liver injury is an extremely rare condition, and only 12 cases have been reported in the English literature since 1911. We report a case of a 26-year-old man who presented with IVC thrombosis after blunt liver injury. IVC thrombosis was incidentally detected by computed tomography 15 days after conservative management of blunt liver injury. The patient denied any symptoms of thrombophlebitis and did not have any evidence of hypercoagulable state. We placed an IVC filter via the right jugular vein and started the anticoagulation treatment. The patient recovered successfully without operative treatment and IVC thrombosis disappeared completely two months later. We suggest that that the possibility of IVC thrombosis should be considered in patients with a large hematoma of the liver, which may cause compression of the IVC.

No MeSH data available.


Related in: MedlinePlus