A Pitfall in the Diagnosis of Bilateral Deep Vein Thrombosis in a Young Man Hypoplasia of the Inferior Vena Cava

A 32-year-old man with a history of bronchial asthma was referred for low back pain and bilateral femur pain. Vascular sonography revealed bilateral deep vein thrombosis (DVT) from the femoral veins to the popliteal veins. Computed tomography revealed hypoplasia of the inferior vena cava (IVC) and d...

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Bibliographic Details
Published inInternational Heart Journal Vol. 59; no. 2; pp. 451 - 454
Main Authors Adachi, Yusuke, Sakakura, Kenichi, Okochi, Tomohisa, Mase, Takaaki, Matsumoto, Mitsunari, Wada, Hiroshi, Fujita, Hideo, Momomura, Shin-ichi
Format Journal Article
LanguageEnglish
Published Tokyo International Heart Journal Association 2018
Japan Science and Technology Agency
Subjects
Anomaly
Asthma
Azygos continuation
Computed tomography
Femur
Hypoplasia
Low back pain
Pain
Risk factors
Thrombophilia
Thrombosis
Veins
Venous thromboembolism
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Summary:A 32-year-old man with a history of bronchial asthma was referred for low back pain and bilateral femur pain. Vascular sonography revealed bilateral deep vein thrombosis (DVT) from the femoral veins to the popliteal veins. Computed tomography revealed hypoplasia of the inferior vena cava (IVC) and dilated lumbar veins, ascending lumbar veins, and azygos vein as collaterals. There was no evidence of malignant neoplasm. The results of the thrombophilia tests were within normal limits. Hypoplasia of the IVC is a rare cause of DVT. This anomaly should be considered as a cause of bilateral and proximal DVT, in particular, in young patients without major risk factors.
ISSN:1349-2365
1349-3299
DOI:10.1536/ihj.17-159