Inferior vena cava thrombosis

Case contributed by Karen Machang'a

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Machang'a K, Inferior vena cava thrombosis. Case study, Radiopaedia.org (Accessed on 02 Jul 2024) https://doi.org/10.53347/rID-174096

DOI:

https://doi.org/10.53347/rID-174096

Permalink:

https://radiopaedia.org/cases/174096?iframe=true

rID:

174096

Disclosures:

At the time the case was submitted for publication Karen Machang'a had no financial relationships to ineligible companies to disclose.

View Karen Machang'a's current disclosures

Case published:

29 Aug 2023

Revisions:

6 times, by 2 contributors - see full revision history and disclosures

Systems:

Vascular, Cardiac

Quiz mode:

Included

Presentation

Patient with known high-grade osteogenic sarcoma with lung metastases. She presents with dyspnoea, chest pains, desaturations (spO2:74%), and tachycardia: heart rate of 140 beats per minute.

Patient Data

Age: 14 years

Gender: Female

From the case: Inferior vena cava thrombosis

ultrasound

The subcoastal inferior vena cava (IVC) view demonstrates an intraluminal mass within the IVC. Colour Doppler demonstrates incomplete obstruction of the IVC.

The defect extends to the iliac veins and into the right common femoral vein (not shown). Dilated right cardiac chambers, severe tricuspid regurgitation with severe pulmonary hypertension (not shown).

Case Discussion

Venous thromboembolism (VTE) is a common complication in cancer patients. Several risk factors for developing VTE, such as chemotherapy and immobilisation, coexist with cancer patients, adding to the higher chance of developing VTE in cancer patients compared to non-cancer patients ¹.

The patient was put on Clexane.

References

2 public playlists include this case

Vascular 2 by Emil Michalski
Thrombus by Urjinkhand Bayarsaikhan