Year 2017 / Volume 109 / Number 6
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Mesenteric-portal axis thrombosis and deep venous thrombosis in a patient with inferior vena cava agenesis

461-462

Laia Lluis Pons, Nadia Chahri Vizcarro, Silvia Llaverias Borrell, Carlos Miquel Abbad,

Abstract
Splenoportal axis thrombosis not associated with cirrhosis or neoplasms has a prevalence lower than 5 per 10,000 people. An etiologic factor responsible for portal thrombosis is finally identified in most cases, usually systemic thrombogenic factors or predisposing local factors. However, despite a detailed study of all etiologic factors, up to 30% of cases are eventually considered as idiopathic in origin. We report the case of a 41-year-old patient who presented with abdominal pain and lower extremity edema. The patient was diagnosed with portal and mesenteric-portal confluence thrombosis, bilateral deep venous thrombosis and right lumbar vein thrombosis based on an abdominal CT scan. This was associated with a likely congenital inferior vena cava agenesis. This malformation is present in approximately 5% of patients with deep vein thrombosis even though it represents a rare cause of portal thrombosis. The fact that several thromboses developed simultaneously makes this a unique and isolated case in the current literature as no similar cases have been reported thus far.
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References
1. María J. García-Fuster, María J. Forner, Blas Flor-Lorente, et al. Anomalías de la vena cava y trombosis venosa profunda. Rev Esp Cardiol. 2006;59(2):171-5.
2. Lambert M., Marboeuf P., Midulla M., et al. Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature. Vasc. Med.2010;15(December (15)):451–459.
3. Ormaechea C, Praderi R. Portal vein thrombosis and agenesis of the inferior vena cava. Arq Bras Med. 1960 Nov-Dec;50:479-80.
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Lluis Pons L, Chahri Vizcarro N, Llaverias Borrell S, Miquel Abbad C. Mesenteric-portal axis thrombosis and deep venous thrombosis in a patient with inferior vena cava agenesis. 4875/2017


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Publication history

Received: 31/01/2017

Accepted: 04/02/2017

Published: 01/06/2017

Article editing time: 121 days


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