Thrombosis in a Cavernous Left-Sided Inferior Vena Cava

Krämer, Albrecht; Cooperman, Avram M.

doi:10.1001/archsurg.1976.01360270097019

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…To our knowledge only one case of an absent retrohepatic IVC misdiagnosed as an abdominal mass has been described prior to our case, which was a presumed retroperitoneal lymphoma until further studies indicated its occurrence. 3 Our case was misdiagnosed due to a poor-quality CT scan and insufficient intravenous contrast given to clearly marginate the structure.…”

Section: Discussionmentioning

confidence: 81%

“…5 The complete absence of the IVC is an infrequent anomaly and has an even lower incidence of 0.0005 per cent to 1 per cent. [1][2][3] An absent, retrohepatic IVC misdiagnosed as an abdominal mass is not commonly encountered; therefore, the clinician, radiologist, and the surgeon should be aware of the possibility for this type of presentation. It raises the suspicion and concern of more severe complications such as malignancy.…”

Section: Discussionmentioning

confidence: 99%

“…The complete absence of the IVC is a rare anomaly and has an incidence of 0.0005 per cent to 1 per cent. [1][2][3] This case report describes the misdiagnosis of a dilated, proximal varicele of an absent retrohepatic IVC as an abdominal mass.…”

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confidence: 96%

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Absence of the Retrohepatic Inferior Vena Cava: What the Surgeon Should Know

Sneed

Hamdallah

Sardi

2005

The American Surgeon™

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Anomalies of the inferior vena cava are rare and can easily be misdiagnosed if one is not aware of such variants. We report a case of a 57-year-old patient that had a percutaneous CT-guided biopsy of what was considered to be enlarged pericaval lymph nodes. This occurred because of the poor technique of the CT scan and the unawareness of such a condition. These changes were related to a proximal varicele of an absent, retrohepatic inferior vena cava. There was an extensive collateral network with filling of large azygos and hemiazygos veins draining through the posterior mediastinum into the superior vena cava. This case emphasizes the importance of correctly identifying vascular anomalies before the initiation of biopsy attempts in order to prevent the risk of major complications that could arise during such biopsy.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Absence of the Retrohepatic Inferior Vena Cava: What the Surgeon Should Know

Sneed

Hamdallah

Sardi

2005

The American Surgeon™

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Thrombophlebitic retroperitoneal collateral veins mimicking lymphadenopathy: MR and CT appearance

et al. 1995

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The authors report the magnetic resonance (MR) and computed tomography (CT) features of what is believed to be thrombophlebitis of the left cava of a duplicated IVC, which mimicked lymphadenopathy, and prompted both a CT-guided needle aspiration biopsy and surgical exploration. Knowledge that retroperitoneal vascular anomalies can mimick lymphadenopathy, both clinically and radiographically, may help obviate further testing and intervention.

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Inferior Vena Cava Atresia Associated with von Hippel-Lindau Masquerading as Metastatic Testicular Cancer

2009

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Anomalies of the inferior vena cava (IVC) afflict about 8% of the general population. Absence or atresia of the infrarenal segment of the IVC is a rare event comprising 6% of all IVC anomalies. Since an atretic IVC promotes the formation of venous thrombosis and collateral veins in the retroperitoneum, it may be confused with retroperitoneal lymphadenopa-thy as outlined in our report. Here, we describe such a case in which collateral vessels seen with an atretic IVC mimic retroperitoneal lymphadenopathy. We also discuss diagnostic measures to avoid associated pitfalls and explore the association between IVC anomalies and venous thrombosis and von Hippel-Lindau disease.

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Thrombosis in a Cavernous Left-Sided Inferior Vena Cava

Cited by 3 publications

References 9 publications

Absence of the Retrohepatic Inferior Vena Cava: What the Surgeon Should Know

Absence of the Retrohepatic Inferior Vena Cava: What the Surgeon Should Know

Thrombophlebitic retroperitoneal collateral veins mimicking lymphadenopathy: MR and CT appearance

Inferior Vena Cava Atresia Associated with von Hippel-Lindau Masquerading as Metastatic Testicular Cancer

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