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Inferior vena caval and right atrial thrombosis: complicating pyogenic liver abscess
Narendra Bagri1, Dinesh Yadav, Alok Hemal
1Department of Pediatrics, PGIMER and associated Dr RML Hospital, New Delhi, India. drnarendrabagri@yahoo.co.in
Insights
A rare but serious liver abscess complication, inferior vena cava thrombus, was successfully treated in a young boy. Prompt diagnosis using imaging and swift medical and surgical care were key to the positive outcome.
Area of Science:
- Pediatric Medicine
- Cardiovascular Surgery
- Hepatology
Background:
- Vascular complications of pyogenic hepatic abscesses are uncommon but pose significant risks.
- Inferior vena cava (IVC) thrombus extending to the right atrium is a rare and life-threatening manifestation.
Abstract:
Vascular complication of liver abscess are rare but life-threatening. We herein report a 2 year 9 month boy with pyogenic hepatic abscess complicated by inferior vena cava thrombus extending to right atrium. Early clinical suspicion aided by ultrasonography and echocardiography confirmed the diagnosis. The child was treated successfully with timely medical and surgical intervention.
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