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A Case with an Extensive Deep Venous Thrombosis Affecting the Bilateral Common Iliac Veins and the Inferior Vena Cava up to the Level of the Hepatic Vein Takayuki Tanaka 1 , Taku Matsubara 1 , Tomoyuki Hori 1 , Koutarou Higuchi 1 , Akira Nakamura 1 , Shunsuke Imai 1 , Toru Mezaki 1 , Akimitsu Nasuno 1 , Nobuhiko Yoshimura 2 , Motomasa Kimura 2 , Yoshifusa Aizawa 1 1First Department of Internal Medicine, Niigata University School of Medicine 2Department of Radiology, Niigata University School of Medicine Keyword: 下大静脈閉塞症 , 深部静脈血栓症 , 側副血行 , inferior vena caval thrombosis , deep vein thrombosis , collateral circulation pp.221-225
Published Date 2002/2/15
DOI https://doi.org/10.11477/mf.1404902432
  • Abstract
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 A 50-year-old woman was admitted to our hospital complaining of oral aphtha, leg erythema, and leg edema. Chest X-ray films showed pulmonary congestion and cardiac enlargement. Echocardiography revealed severe mitral and tricuspid regurgitation, severe pulmonary hypertension and ventricular septal flattening. Nuclear venography and computed tomography demonstrated the presence of deep vein thrombosis affecting the bilateral common iliac veins and the inferior vena cava up to the level of the hepatic vein. Selective arteriography showed well developed venous collaterals consisting of the obturator, ovarian, adrenal veins and so on. Behcet's disease or other collagen diseases were unlikely. Her laboratory data showed no evidence of disturbance to the coagulo-fibrinolysis system and no etiological abnormality was documented by imaging studies. She was well treated with conservative therapy. Well developed collaterals seems to be the cause of mild clinical course. This is a rare case in which the collaterals could be examined in detail by various imaging studies.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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