A 17-year-old male patient presenting with postoperative deep venous thrombosis secondary to anomalous inferior vena cava.
Interventions:
Imaging to establish the diagnosis, anticoagulation and follow-up.
Main outcome measures:
Serial magnetic resonance imaging and the clinical condition of the patient were assessed.
Results:
The patient made a good recovery and did not require a laparotomy.
Conclusions:
Magnetic resonance imaging is very useful in the detection of central deep venous thrombosis and anomalous inferior vena cava and should be considered in young patients with postoperative deep venous thrombosis.
FriedlandGWde VriesPANino-MurciaMKingBFLederRAStevensS. Congenital anomalies of the inferior vena cava: Embryogenesis and MR features. Urol Radiol1992; 13: 237–48.
2.
SoninAHMazerMJPowersTA. Obstruction of the inferior vena cava: A multiple modality demonstration of causes, manifestations and collateral pathways. Radiographics1992; 12: 309–22.
3.
BollingerBMantoniMStrandbergCSommerW. Deep venous thrombosis and inferior vena cava malformation. Eur Radiol1995; 5: 88–92.
4.
RoseGCZweibelWJNelsonBD, Symptomatic lower extremity deep venous thrombosis: Accuracy, limitations and role of colour duplex flow imaging in diagnosis. Radiology1990; 175: 639–44.
5.
LomasDJBrittonPD. CT demonstration of acute and chronic iliofemoral thrombosis. J Comput Assist Tomogr1991; 15: 861–2.
6.
EvansAJSostmanHDKnelsonMH, Detection of deep venous thrombosis: Prospective comparison of MR imaging with contrast venography. AJR1993; 161: 131–9.
7.
FinnJPZiskJHSEdelmanRR, Central venous occlusion: MR angiography. Radiology1993; 187: 245–51.
