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Title: Extensive deep venous thrombosis in a young male with absent infrarenal inferior vena cava.
Austin Authors: Jiang, Michael ;Lai, Timothy C;Mitchell, David A ;Qu, Liang G 
Affiliation: Surgery
Issue Date: 26-Jan-2022
Date: 2022
Publication information: Journal of vascular surgery cases and innovative techniques 2022; 8(2): 146-150
Abstract: A previously well, independent 20-year-old man presented with a 4-day history of progressive left lower limb pain with associated phlegmasia cerulea dolens. Duplex venous ultrasound examination and computed tomography venogram revealed extensive deep vein thrombus from the left popliteal vein to abnormal venous vasculature proximally. Notably, no infrarenal inferior vena cava was detected, with distal venous return channeled through lumbar and visceral collateral channels into the azygous system. Treatment included systemic anticoagulation, catheter-directed thrombolysis, and prolonged therapeutic anticoagulation. In the absence of other risk factors, anatomical abnormalities should be considered in young, well patients presenting with lower limb venous thrombosis.
DOI: 10.1016/j.jvscit.2022.01.001
ORCID: 0000-0003-2288-5113
Journal: Journal of vascular surgery cases and innovative techniques
PubMed URL: 35330898
PubMed URL:
ISSN: 2468-4287
Type: Journal Article
Subjects: 3D reconstruction
Congenital anomaly
Deep vein thrombosis
Inferior vena cava
Vascular malformations
Appears in Collections:Journal articles

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