Large floating thrombus in the inferior vena cava

A 32-year-old female presented to the emergency room with severe right loin pain. Abdominal color Doppler ultrasound (CDUS) observed a large thrombus in the inferior vena cava (IVC). Computed tomography with contrast described a large floating thrombus in the IVC with no visible wall attachment. Eme...

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Autores principales: Hussein, Rayan, Alrabyee, Khalid, Karrar, Abdulrazak, Hamdan, Nourah, Al-Hudaithi, Mogbil, Shammeri, Owayed Al
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Qassim Uninversity 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968883/
https://www.ncbi.nlm.nih.gov/pubmed/31983919
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author Hussein, Rayan
Alrabyee, Khalid
Karrar, Abdulrazak
Hamdan, Nourah
Al-Hudaithi, Mogbil
Shammeri, Owayed Al
author_facet Hussein, Rayan
Alrabyee, Khalid
Karrar, Abdulrazak
Hamdan, Nourah
Al-Hudaithi, Mogbil
Shammeri, Owayed Al
author_sort Hussein, Rayan
collection PubMed
description A 32-year-old female presented to the emergency room with severe right loin pain. Abdominal color Doppler ultrasound (CDUS) observed a large thrombus in the inferior vena cava (IVC). Computed tomography with contrast described a large floating thrombus in the IVC with no visible wall attachment. Emergency transjugular suprarenal IVC filter was inserted and overnight infusion thrombolysis over 24 h. The patient started to show constitutional symptoms of pyelonephritis such as high-grade fever and pyuria post-thrombolysis. Immediate empiric antibiotic coverage was started. Overnight infusion thrombolysis resulted in resolution of the floating thrombus and the IVC filter was removed in the next day. Urine culture grew Escherichia coli and tailored antibiotic therapy was completed. Three months CDUS confirmed complete resolution of the IVC thrombosis.
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spelling pubmed-69688832020-01-24 Large floating thrombus in the inferior vena cava Hussein, Rayan Alrabyee, Khalid Karrar, Abdulrazak Hamdan, Nourah Al-Hudaithi, Mogbil Shammeri, Owayed Al Int J Health Sci (Qassim) Case Report A 32-year-old female presented to the emergency room with severe right loin pain. Abdominal color Doppler ultrasound (CDUS) observed a large thrombus in the inferior vena cava (IVC). Computed tomography with contrast described a large floating thrombus in the IVC with no visible wall attachment. Emergency transjugular suprarenal IVC filter was inserted and overnight infusion thrombolysis over 24 h. The patient started to show constitutional symptoms of pyelonephritis such as high-grade fever and pyuria post-thrombolysis. Immediate empiric antibiotic coverage was started. Overnight infusion thrombolysis resulted in resolution of the floating thrombus and the IVC filter was removed in the next day. Urine culture grew Escherichia coli and tailored antibiotic therapy was completed. Three months CDUS confirmed complete resolution of the IVC thrombosis. Qassim Uninversity 2020 /pmc/articles/PMC6968883/ /pubmed/31983919 Text en Copyright: © International Journal of Health Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hussein, Rayan
Alrabyee, Khalid
Karrar, Abdulrazak
Hamdan, Nourah
Al-Hudaithi, Mogbil
Shammeri, Owayed Al
Large floating thrombus in the inferior vena cava
title Large floating thrombus in the inferior vena cava
title_full Large floating thrombus in the inferior vena cava
title_fullStr Large floating thrombus in the inferior vena cava
title_full_unstemmed Large floating thrombus in the inferior vena cava
title_short Large floating thrombus in the inferior vena cava
title_sort large floating thrombus in the inferior vena cava
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968883/
https://www.ncbi.nlm.nih.gov/pubmed/31983919
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