Double venous compression due to duplicated inferior vena cava-induced right common iliac vein thrombosis.
BMJ Case Rep
; 20182018 Apr 07.
Article
em En
| MEDLINE
| ID: mdl-29627780
ABSTRACT
Venous compression syndromes are caused by extrinsic venous compression of anatomical structures, such as the adjacent arteries and bones. Chronic venous compression and pulsative vibratory arterial pressure accelerate the development of deep vein thrombosis. Herein, we report the first case of double venous compressions due to a duplicated inferior vena cava-induced right-sided common iliac vein thrombosis. The thrombus was induced by left-sided inferior vena cava entrapment and right-sided common iliac vein compression, resembling nutcracker syndrome and May-Thurner syndrome, respectively. Bypass flow of the right inferior vena cava rendered the right lower extremity asymptomatic. Once daily anticoagulation edoxaban was effective. Congenital venous anomalies and bypass formations should be considered when a common iliac vein thrombus without symptoms in the lower extremities is observed, and a lifelong periodical follow-up is mandatory, even after remission.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Piridinas
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Tiazóis
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Veia Cava Inferior
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Constrição Patológica
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Trombose Venosa
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Inibidores do Fator Xa
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Veia Ilíaca
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article