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Inferior vena caval thrombosis complicating acute pancreatitis. Case report
M D Stringer1, M Michell, A J McIrvine
1Department of Surgery, King's College Hospital, London, United Kingdom.
Summary
This case report details a rare instance of inferior vena caval thrombosis in a patient with acute pancreatitis. This vascular complication, diagnosed via CT and venography, has not been previously documented.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Acute pancreatitis is associated with various vascular complications.
- Inferior vena caval thrombosis is a known but uncommon complication.
Observation:
- A patient with acute pancreatitis presented with symptoms suggestive of deep vein thrombosis.
- Imaging revealed thrombosis specifically in the inferior vena cava.
Findings:
- Computed tomography (CT) scan and digital subtraction venography confirmed isolated inferior vena caval thrombosis.
- This represents the first reported case of this specific vascular complication in acute pancreatitis.
Implications:
- Highlights the importance of considering unusual vascular complications in acute pancreatitis.
- May prompt further investigation into the pathophysiology linking pancreatitis and IVC thrombosis.
- Informs diagnostic and management strategies for patients with pancreatitis and suspected venous thromboembolism.