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[Post-traumatic vena cava thrombosis].

G Cellarier1, P Carli, P Laurent

  • 1Service de Cardiologie, HIA Sainte Anne, Toulon Naval.

Presse Medicale (Paris, France : 1983)
|November 2, 1999
PubMed
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Post-traumatic inferior vena cava thrombosis is rare but can occur after abdominal trauma. This case highlights the diagnostic role of computed tomography and the challenges in managing this condition due to embolism risks.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Post-traumatic thrombotic events in the caval system are exceptionally rare.
  • Inferior vena cava (IVC) thrombosis is a serious complication that can arise following significant trauma.

Observation:

  • A 53-year-old male sustained multiple traumas, including blunt abdominal injury, from a traffic accident.
  • Three months post-trauma, the patient presented with symptoms of pulmonary embolism, confirmed via angiopneumography.
  • Phlebocavography revealed a floating thrombus within the inferior vena cava.

Findings:

  • A review of the literature identified 9 additional cases of caval thrombus secondary to abdominal trauma.
  • Endothelial damage, resulting from shear forces, is the presumed mechanism for thrombus formation.

Related Experiment Videos

  • Contrast-enhanced computed tomography (CT) of the abdomen is crucial for accurate diagnosis.

    • Implications:

    • The management of IVC thrombosis post-trauma remains debated due to the high risk of life-threatening massive embolism.
    • Early diagnosis and consideration of potential thrombotic complications are vital in managing polytrauma patients.