CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S31-S32
DOI: 10.1055/s-0041-1730734
Abstract

Acute Deep Vein Thrombosis with Duplication of Inferior Venecava

U Gurunandan
Sir Ganga Ram Hospital, New Delhi, India
,
Ambarish Satwik
Sir Ganga Ram Hospital, New Delhi, India
,
V S Bedi
Sir Ganga Ram Hospital, New Delhi, India
,
Sandeep Agarwal
Sir Ganga Ram Hospital, New Delhi, India
,
Ajay Yaday
Sir Ganga Ram Hospital, New Delhi, India
,
Dhruv Agarwal
Sir Ganga Ram Hospital, New Delhi, India
› Author Affiliations

Background: Venous thromboembolism (VTE) is the third leading cause of cardiovascular mortality. In young patients, VTE is frequently associated with hereditary coagulation abnormalities, immunological disease, and neoplasia. The advent of computed tomography scan and venography has identified venacaval malformations as a new etiological factor. Duplication of inferior vena cava (IVC) is a rare finding in radiological studies. The incidence is about 0.2%–3%. Its symptomatic presentation is even rarer. We present a 43-year-old male with acute left lower limb deep vein thrombosis (DVT) with duplicated IVC. Case Report: Patient presented with acute pain in left lower limb and diffuse swelling since 6 h. Venous Doppler showed acute ileo-femoropopliteal DVT. There was no history of trauma or previous hospitalization or surgery. There was no evidence of pulmonary embolism. Patient underwent pharmacomechanical thrombolysis with IVC stent placement. Venography revealed duplicated left-sided IVC with stenotic segment which was stented. Results: Postoperative period was uneventful. Limb swelling had reduced in size. Patient was discharged on anticoagulants. Computed tomography scan at 1-month follow up showed patent stent. Conclusion: Duplicated IVC can be considered as one of those rare congenital causes that predisposes to VTE. Surgeons need to be aware of such anomalies of IVC and that they may influence decision-making in patients with an acute presentation of thromboembolic disease.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India