Phlebologie 2016; 45(05): 322-324
DOI: 10.12687/phleb2323-5-2016
Case report Kasuistik
Schattauer GmbH

Previous vena cava occlusion as the cause of a bilateral iliofemoral thrombosis

Article in several languages: English | deutsch
D. Mühlberger
1   Klinik für Gefäßchirurgie, St. Josef Hospital Bochum, Klinikum der Ruhr Universität Bochum, Germany
,
B. Burkert
1   Klinik für Gefäßchirurgie, St. Josef Hospital Bochum, Klinikum der Ruhr Universität Bochum, Germany
,
Ph. Regeniter
1   Klinik für Gefäßchirurgie, St. Josef Hospital Bochum, Klinikum der Ruhr Universität Bochum, Germany
,
A. Mumme
1   Klinik für Gefäßchirurgie, St. Josef Hospital Bochum, Klinikum der Ruhr Universität Bochum, Germany
,
T. Hummel
1   Klinik für Gefäßchirurgie, St. Josef Hospital Bochum, Klinikum der Ruhr Universität Bochum, Germany
› Author Affiliations
Further Information

Publication History

Received: 04 July 2016

Accepted: 06 July 2016

Publication Date:
22 December 2017 (online)

Summary

A case of bilateral iliofemoral thrombosis in a 17-year-old [male] patient is presented. It was only revealed during bilateral transfemoral thrombectomy that the thrombosis was due to previous inferior vena cava occlusion. This required a complex interventional reconstruction of the vena cava with secondary stenting of both renal veins. The postoperative venogram showed blood outflow from the left renal vein into the portal vein and from the right renal vein into the inferior vena cava via collaterals. At follow-up presentation, the patient was asymptomatic with normal findings on computed tomography scanning.