International Heart Journal
Online ISSN : 1349-3299
Print ISSN : 1349-2365
ISSN-L : 1349-2365

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A Pitfall in the Diagnosis of Bilateral Deep Vein Thrombosis in a Young Man
Hypoplasia of the Inferior Vena Cava
Yusuke AdachiKenichi SakakuraTomohisa OkochiTakaaki MaseMitsunari MatsumotoHiroshi WadaHideo FujitaShin-ichi Momomura
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JOURNAL FREE ACCESS Advance online publication

Article ID: 17-159

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Abstract

A 32-year-old man with a history of bronchial asthma was referred for low back pain and bilateral femur pain. Vascular sonography revealed bilateral deep vein thrombosis (DVT) from the femoral veins to the popliteal veins. Computed tomography revealed hypoplasia of the inferior vena cava (IVC) and dilated lumbar veins, ascending lumbar veins, and azygos vein as collaterals. There was no evidence of malignant neoplasm. The results of the thrombophilia tests were within normal limits. Hypoplasia of the IVC is a rare cause of DVT. This anomaly should be considered as a cause of bilateral and proximal DVT, in particular, in young patients without major risk factors.

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© 2018 by the International Heart Journal Association
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