Inferior vena caval thrombosis

Case contributed by Dr Yi-Jin Kuok

Presentation

Severe hypotension. bilateral swollen legs.

Patient Data

Age: 70
Gender: Male
Modality: CT

IVC filter

Dilated non enhanced IVC/iliac veins below the filter. This could be flow phenomenon but the collapse of the IVC above the filter is compelling

Signs of hypovolaemia - completely collapsed IVC above the filter and underfilled right atrium/ventricle. The same volume of blood flows through the right ventricle as the left ventricle and the lumen of these two cardiac chambers is usually very similar.

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Case Information

rID: 17313
Case created: 3rd Apr 2012
Last edited: 11th Dec 2016
System: Vascular
Inclusion in quiz mode: Included

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