Artigo Acesso aberto Produção Nacional

Bilateral Deep Vein Thrombosis Associated with Inferior Vena Cava Agenesis in a Young Patient Manifesting as Low Back Pain

2017; Ordem dos Médicos; Volume: 30; Issue: 4 Linguagem: Inglês

10.20344/amp.7744

ISSN

1646-0758

Autores

Felipe Welter Langer, Daiane dos Santos, Gustavo Suertegaray, Carlos Jesus Pereira Haygert,

Tópico(s)

Venous Thromboembolism Diagnosis and Management

Resumo

Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral venous drainage from the lower limbs. We hereby describe a case of a previously healthy young male patient presenting with bilateral lower limb deep venous thrombosis as the initial clinical manifestation of congenital inferior vena cava agenesis. We conclude that in young patients presenting with deep venous thrombosis, especially when thrombosis occurs spontaneously, bilaterally, or recurrently, inferior vena cava anomalies should be thoroughly investigated and ruled out as appropriate.

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