Infrahepatic Inferior Vena Cava Agenesis with Bilateral Renal Vein Thrombosis

Congenital anomalies of the inferior vena cava (IVC) are rare and are estimated to be present in 0.07–8.7% of the general population. IVC agenesis (IVCA) is found in approximately 5% of cases of unprovoked lower extremity deep vein thrombosis in patients

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Veröffentlicht in:Annals of vascular surgery 2013-10, Vol.27 (7), p.973.e19-973.e23
Hauptverfasser: Skeik, Nedaa, Wickstrom, Kelly K, Schumacher, Clark W, Sullivan, Timothy M
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container_end_page 973.e23
container_issue 7
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container_title Annals of vascular surgery
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creator Skeik, Nedaa
Wickstrom, Kelly K
Schumacher, Clark W
Sullivan, Timothy M
description Congenital anomalies of the inferior vena cava (IVC) are rare and are estimated to be present in 0.07–8.7% of the general population. IVC agenesis (IVCA) is found in approximately 5% of cases of unprovoked lower extremity deep vein thrombosis in patients
doi_str_mv 10.1016/j.avsg.2012.10.030
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IVC agenesis (IVCA) is found in approximately 5% of cases of unprovoked lower extremity deep vein thrombosis in patients &lt;30 years of age. Renal vein thrombosis (RVT) is an extremely rare and unusual presentation of IVCA. We report a unique case of a 23-year-old previously healthy man presenting with infrahepatic IVCA-induced bilateral RVT with azygos and hemiazygos continuation. To our knowledge, this is the third reported case in the literature of IVCA-induced RVT and the first to affect the bilateral renal veins in the absence of any other thrombogenic risk factors or any lower extremity venous complications. 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IVC agenesis (IVCA) is found in approximately 5% of cases of unprovoked lower extremity deep vein thrombosis in patients &lt;30 years of age. Renal vein thrombosis (RVT) is an extremely rare and unusual presentation of IVCA. We report a unique case of a 23-year-old previously healthy man presenting with infrahepatic IVCA-induced bilateral RVT with azygos and hemiazygos continuation. To our knowledge, this is the third reported case in the literature of IVCA-induced RVT and the first to affect the bilateral renal veins in the absence of any other thrombogenic risk factors or any lower extremity venous complications. 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IVC agenesis (IVCA) is found in approximately 5% of cases of unprovoked lower extremity deep vein thrombosis in patients &lt;30 years of age. Renal vein thrombosis (RVT) is an extremely rare and unusual presentation of IVCA. We report a unique case of a 23-year-old previously healthy man presenting with infrahepatic IVCA-induced bilateral RVT with azygos and hemiazygos continuation. To our knowledge, this is the third reported case in the literature of IVCA-induced RVT and the first to affect the bilateral renal veins in the absence of any other thrombogenic risk factors or any lower extremity venous complications. We also present a literature review of IVCA-induced vein thrombosis and highlight the lack of literature to manage this condition.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>23993114</pmid><doi>10.1016/j.avsg.2012.10.030</doi></addata></record>
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subjects Anticoagulants - therapeutic use
Azygos Vein - abnormalities
Humans
Male
Phlebography - methods
Renal Veins
Risk Factors
Surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular Malformations - complications
Vascular Malformations - diagnosis
Vena Cava, Inferior - abnormalities
Venous Thrombosis - diagnosis
Venous Thrombosis - drug therapy
Venous Thrombosis - etiology
Young Adult
title Infrahepatic Inferior Vena Cava Agenesis with Bilateral Renal Vein Thrombosis
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