Williams, G.J. orcid.org/0000-0002-7356-3889, Chowdhury, P. and Packham, S. (2022) Inferior vena cava agenesis: a rare cause of deep vein thrombosis. BMJ Case Reports, 15 (12). e250511. ISSN 1757-790X
Abstract
The development of deep vein thrombosis (DVT) is influenced by a myriad of risk factors which are seen across a wide spectrum of healthcare settings. We present a previously fit and well male in his early 40s with extensive bilateral lower limb DVT associated with total inferior vena cava (IVC) agenesis. The diagnosis was made with contrast-enhanced CT imaging of the abdomen and pelvis. With no demonstrable subhepatic IVC, the majority of the venous drainage was via large azygous veins and distended collateral vessels. Lifelong anticoagulation was advised by both haematology and vascular surgery teams. IVC agenesis represents a very rare and largely unknown clinical entity within the medical community with currently no firmly established pathogenesis, guideline for future VTE prophylaxis or standardised follow-up strategy.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © BMJ Publishing Group Limited 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
Keywords: | radiology; venous thromboembolism; Humans; Male; Vena Cava, Inferior; Venous Thrombosis; Pelvis; Abdomen |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Department of Infection, Immunity and Cardiovascular Disease |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 07 Feb 2023 16:53 |
Last Modified: | 07 Feb 2023 16:53 |
Status: | Published |
Publisher: | BMJ |
Refereed: | Yes |
Identification Number: | 10.1136/bcr-2022-250511 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:196119 |