Subscribe to RSS
DOI: 10.12687/phleb2325-4-2016
A rare case of septic thrombosis in the inferior vena cava with embolism
Article in several languages: English | deutschPublication History
Received:
04 July 2016
Accepted:
06 July 2016
Publication Date:
21 December 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00034913/201604/lookinside/thumbnails/10-12687-phleb2325-4-2016_en-1.jpg)
Summary
This paper presents the case of a 61-year-old female patient who complained about exhaustion and fever during curative therapy, a few weeks after hysterectomie and adnexectomy. Antibiotic therapy could only improve these symptoms though only in the short term. Additionally, a venous port, which had been implanted for the purpose of cytoreduction chemotherapy, was suspected of a catheter infection and was removed. However, this did not lead to a substantial improvement of the patient’s general state of health, but ultimately triggered a sepsis, making necessary treatment in intensive care unit. At this stage, the detailed search for the focus of the infection led to the discovery of an infected thrombosis of the inferior vena cava with bilateral septic pulmonal embolisms and with an abscess. Thus, the source of sepsis had to be removed by surgery, a transfemoral thrombectomy was performed and an inguinal arteriovenous fistula was created. The further course of the disease was without complications; the patient could be released into ambulant treatment 24 days after the surgery. The elective sealing of the arteriovenous fistula was carried out 11 months later. In the follow- up, there were no hints for infection; the deep venous system in particular did not indicate any new thrombosis or of residual thrombi, with the tumor follow-up-care showing a complete remission.
-
References
- 1 Hach W, Mumme A, Hach-Wunderle V. VenenChirurgie. Stuttgart, New York: Schattauer; 2013
- 2 Mumme A, Hummel T. Die multimodale operative Therapie der tiefen Beinvenenthrombose. Gefäßchirurgie 2013; 18: 695-703.
- 3 Sontineni SP, White M, Singh S. et al. Thrombectomy reduces the systemic complications in device-related right atrial septic thrombosis. Can J Cardiol 2009; 25 (02) e36-e41.
- 4 Sulaiman L, Hunter J, Farquharson F, Reddy H. Mechanical thrombectomy of an infected deep venous thrombosis: a novel technique of source control in sepsis. Br J Anaesth 2011; 106: 65-68.
- 5 Kim M, Kwon H, Hong S-K, Han Y, Park H, Choi JY, Kwon T-W, Cho Y-P. Surgical Treatment of Central Venous Catheter Related Septic Deep Venous Thrombosis. Eur J Vasc Endovasc Surg 2015; 49: 670-675.
- 6 Gargia J, Aboudjaoude R, Apuzzio J. et al. Septic pelvic thrombophlebitis: diagnosis and management. Infect Dis Obstet Gynecol 2006; 2006: 15614.
- 7 Koh YX, Chng JK, Tan SG. A Rare Case of Septic Deep Vein Thrombosis in the Inferior Vena Cava and the Left Iliac Vein in an Intravenous Drug Abuser. Ann Vasc Dis 2012; 05: 389-392.
- 8 Faeh F, Zimmerli W, Jordi M, Schoenenberger RA. Septic deep venous thrombosis in intravenous drug users. Swiss Med Wkly 2002; 132: 386-392.
- 9 Kniemeyer H, Grabitz K, Buhl R, Wüst H, Sandmann W. Surgical treatment of deep venous thrombosis. Surgery 1995; 118: 49-53.
- 10 Block AA, Thursky KA, Worth LJ, Slavin MA. Thrombolytic therapie for management of complicated catheter related Candida albicans thrombophlebitis. Intern Med J 2009; 39: 61-63.
- 11 Hummel T, Asciutto G, Geier B, Strohmann B, Mumme A. Deep vein thrombosis, vena cava inferior stenosis in combination with May-Thurner syndrome. Phlebologie 2009; 38: 172-175.
- 12 Yuan S-M. Inferior vena cava thrombus. Phlebologie 2013; 42: 347-351.