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Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava

A previously well, independent 20-year-old man presented with a 4-day history of progressive left lower limb pain with associated phlegmasia cerulea dolens. Duplex venous ultrasound examination and computed tomography venogram revealed extensive deep vein thrombus from the left popliteal vein to abn...

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Detalles Bibliográficos
Autores principales: Jiang, Michael, Lai, Timothy C., Mitchell, David, Qu, Liang G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938606/
https://www.ncbi.nlm.nih.gov/pubmed/35330898
http://dx.doi.org/10.1016/j.jvscit.2022.01.001
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author Jiang, Michael
Lai, Timothy C.
Mitchell, David
Qu, Liang G.
author_facet Jiang, Michael
Lai, Timothy C.
Mitchell, David
Qu, Liang G.
author_sort Jiang, Michael
collection PubMed
description A previously well, independent 20-year-old man presented with a 4-day history of progressive left lower limb pain with associated phlegmasia cerulea dolens. Duplex venous ultrasound examination and computed tomography venogram revealed extensive deep vein thrombus from the left popliteal vein to abnormal venous vasculature proximally. Notably, no infrarenal inferior vena cava was detected, with distal venous return channeled through lumbar and visceral collateral channels into the azygous system. Treatment included systemic anticoagulation, catheter-directed thrombolysis, and prolonged therapeutic anticoagulation. In the absence of other risk factors, anatomical abnormalities should be considered in young, well patients presenting with lower limb venous thrombosis.
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spelling pubmed-89386062022-03-23 Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava Jiang, Michael Lai, Timothy C. Mitchell, David Qu, Liang G. J Vasc Surg Cases Innov Tech Case report A previously well, independent 20-year-old man presented with a 4-day history of progressive left lower limb pain with associated phlegmasia cerulea dolens. Duplex venous ultrasound examination and computed tomography venogram revealed extensive deep vein thrombus from the left popliteal vein to abnormal venous vasculature proximally. Notably, no infrarenal inferior vena cava was detected, with distal venous return channeled through lumbar and visceral collateral channels into the azygous system. Treatment included systemic anticoagulation, catheter-directed thrombolysis, and prolonged therapeutic anticoagulation. In the absence of other risk factors, anatomical abnormalities should be considered in young, well patients presenting with lower limb venous thrombosis. Elsevier 2022-01-26 /pmc/articles/PMC8938606/ /pubmed/35330898 http://dx.doi.org/10.1016/j.jvscit.2022.01.001 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Jiang, Michael
Lai, Timothy C.
Mitchell, David
Qu, Liang G.
Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title_full Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title_fullStr Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title_full_unstemmed Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title_short Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
title_sort extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938606/
https://www.ncbi.nlm.nih.gov/pubmed/35330898
http://dx.doi.org/10.1016/j.jvscit.2022.01.001
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