Bilateral Deep Vein Thrombosis Associated with Inferior Vena Cava Agenesis in a Young Patient Manifesting as Low Back Pain.

Abstract:

:Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral venous drainage from the lower limbs. We hereby describe a case of a previously healthy young male patient presenting with bilateral lower limb deep venous thrombosis as the initial clinical manifestation of congenital inferior vena cava agenesis. We conclude that in young patients presenting with deep venous thrombosis, especially when thrombosis occurs spontaneously, bilaterally, or recurrently, inferior vena cava anomalies should be thoroughly investigated and ruled out as appropriate. :A Ausência congênita da veia cava inferior é uma anomalia vascular rara e a maioria dos casos são assintomáticos. No entanto, pacientes com malformações da veia cava inferior possuem um risco aumentado de trombose venosa profunda. Notavelmente, casos de trombose venosa profunda bilateral podem ocorrer em decorrência de drenagem venosa colateral insuficiente dos membros inferiores. Apresentamos aqui o caso de um doente que veio à nossa instituição apresentando trombose venosa profunda bilateral de membros inferiores como manifestação inicial de agenesia da veia cava inferior. Concluímos que em pacientes jovens apresentando trombose venosa profunda, especialmente quando a trombose ocorrer espontaneamente, bilateralmente, ou de forma recorrente, anomalias da veia cava inferior devem ser extensamente investigadas e descartadas.

journal_name

Acta Med Port

journal_title

Acta medica portuguesa

authors

Langer F,Dos Santos D,Suertegaray G,Haygert C

doi

10.20344/amp.7744

subject

Has Abstract

pub_date

2017-04-28 00:00:00

pages

333-337

issue

4

eissn

0870-399X

issn

1646-0758

journal_volume

30

pub_type

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