Thrombosed interrupted inferior vena cava and retroaortic left renal vein mimicking retroperitoneal neoplasm

Çizginer, Sevdenur; Tatlı, Servet; Girshman, Jeffrey; Beckman, Joshua A.; Silverman, Stuart G.

doi:10.1007/s00261-006-9052-9

Cited by 17 publications

(27 citation statements)

References 11 publications

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“…Ten patients with DVT, eight men and two women, whose mean age was 25 ± 4.5 [range: [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] years, were diagnosed as having IVCA ( Table 1). Five of them reported having a first-degree relative with a history of venous thrombosis.…”

Section: Resultsmentioning

confidence: 99%

Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature

et al. 2010

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Inferior vena cava agenesis (IVCA) is a rare condition, found in almost 5% of patients under 30 years old with unprovoked deep venous thrombosis (DVT). We describe 10 consecutive patients with IVCA-associated DVT and conducted an extensive literature review to investigate the typical spectrum of IVCA-associated DVT. Among our patients (eight men and two women; mean age, 25 ± 4.5 years), DVT followed intense and unusual (major) physical activity for eight of them. DVT was bilateral in six patients and unilateral in four. Ultrasonography was unable to detect IVCA, which was visualized by computed-tomography scans for seven patients, and magnetic resonance imaging and angiography for 10. Hereditary thrombophilia screening, to detect factor V Leiden or prothrombin gene heterozygosity (G20210A mutation), was positive for only two patients. Wearing elastic stockings and taking an indefinite or long-term vitamin K antagonist were prescribed for all 10 patients and nine complied with the latter. To date, 62 patients with IVCA-associated DVT have been reported in the English literature. Analysis of them and our patients yielded a typical spectrum of IVCA-associated DVT characteristics: IVCA occurs in young adults, particularly males, and is revealed by proximal DVT following major physical exertion. All were treated with a prolonged vitamin K antagonist and advised to wear elastic stockings. No precise duration of anticoagulation has been established.

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Section: Resultsmentioning

confidence: 99%

Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature

et al. 2010

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“…Dilated azygous and hemiazygous vessels have been misdiagnosed as mediastinal masses and percutaneous biopsies have been attempted [29]. Retroaortic renal veins or double IVC can be mistaken for a retroperitoneal neoplasm or as lymphadenopathy, highlighting the need for coronal reconstructions [30]. Contrast enhanced CT or MRI is required to identify vascular structures.…”

Section: Introductionmentioning

confidence: 99%

Anomalies of the inferior vena cava and renal veins and implications for renal surgery

Eldefrawy¹,

Arianayagam²,

Kanagarajah³

et al. 2011

cejurol1/2011

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Abnormalities of the inferior vena cava (IVC) and renal veins are extremely rare. However, with the increasing use of computed tomography (CT), these anomalies are more frequently diagnosed. The majority of venous anomalies are asymptomatic and they include left sided IVC, duplicated IVC, absent IVC as well as retro-aortic and circumaortic renal veins. The embryological development of the IVC is complex and involves the development and regression of three sets of paired veins. During renal surgery, undiagnosed venous anomalies may lead to major complications. There may be significant hemorrhage or damage to vascular structures. In addition, aberrant vessels may be mistaken for lymphadenopathy and may be biopsied. In this review we discuss the embryology of the IVC and the possible anomalies of IVC and its tributaries paying particular attention to diagnosis and implications for renal surgery.

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“…Though other studies have noted naturally-occurring recirculation regions downstream of the renal inflow in normal IVC anatomy [22,21], this is the first report of flow recirculation in the infrarenal IVC. This may be clinically significant, as higher occurrence rates of DVT have been reported in patients with IVC anomalies [23,24,25,26,27,28,29]. Near-stagnant, recirculating flow also occurred downstream of the IVC filter following embolus placement in each patient IVC, with larger recirculation regions in the left-sided IVC.…”

Section: Patient-specific Hemodynamicsmentioning

confidence: 89%

“…Specifically, after obtaining Institutional Review Board exemption (Penn State), veins were imaged with 0.87 mm per pixel in-plane resolution and 1.5 mm per pixel out-of-plane resolution [18]. Two IVC anomalies were chosen, in part to investigate their possible association with DVT [23,24,25,26,27,28,29]: a left-sided IVC (0.2-0.5% of the population) and an IVC with a retroaortic left renal vein (1.7-3.4% of the population) [6]. While these specific anomalies represent less than 5% of the population, the overall incidence of renal vein anomalies is much higher (about 20-30% [30]).…”

Section: Computational Modelsmentioning

confidence: 99%

A Computational Method for Predicting Inferior Vena Cava Filter Performance on a Patient-Specific Basis

Aycock

Campbell

Manning

et al. 2014

Journal of Biomechanical Engineering

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Thrombosed interrupted inferior vena cava and retroaortic left renal vein mimicking retroperitoneal neoplasm

Cited by 17 publications

References 11 publications

Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature

Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature

Anomalies of the inferior vena cava and renal veins and implications for renal surgery

A Computational Method for Predicting Inferior Vena Cava Filter Performance on a Patient-Specific Basis

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