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Med Arch ; 78(2): 164-169, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38566868

RESUMO

Background: Inferior vena cava thrombosis (IVC-Th) is a rare clinical entity after blunt abdominal trauma. It has both diagnostic and therapeutic dilemmas. Pulmonary embolism is the most dreadful complication and the leading cause of mortality after IVC-Th. Therefore, accurate prompt diagnosis is crucial. Objective: The aim of this article was to present a case of IVC-Th in a young male patient who had a blunt traumatic abdominal injury after a motor vehicle accident. Case presentation: The patient was brought to emergency department and was successfully managed by angio-jet thrombolysis. He developed a transient contrast nephropathy that was recovered after continuous renal replacement therapy. Several management options have been proposed in the literature, including conservative, endovascular and operative management. Conclusion: Angio-jet is a recent promising technique for managing of venous thrombosis. However, its use in cases of IVC-Th is not extensively discussed in the literature.


Assuntos
Embolia Pulmonar , Trombose Venosa , Ferimentos não Penetrantes , Humanos , Masculino , Embolia Pulmonar/tratamento farmacológico , Terapia Trombolítica , Veia Cava Inferior/cirurgia , Trombose Venosa/tratamento farmacológico , Trombose Venosa/etiologia , Ferimentos não Penetrantes/complicações
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