Gil Roberto Jiménez, Pérez Alberto Miñano, Arias Jorge Bercial, Pascual Fernando Bernabeu, Romero Eugenio Sansegundo
Servicio de Angiología y Cirugía Vascular, Hospital General Universitario de Alicante, Alicante, Spain.
J Vasc Surg. 2006 Nov;44(5):1114-6. doi: 10.1016/j.jvs.2006.06.021.
The absence of the inferior vena cava is an uncommon congenital anomaly and can be misdiagnosed. We report a 14-year-old boy initially admitted as a result of a painful abdominal mass; after admission, he experienced a deep venous thrombosis in his left leg. Subsequent evaluation revealed the congenital absence of the entire inferior vena cava, with a cluster of thrombosed collateral veins in his right pelvis, corresponding to the abdominal mass. The recognition of this anomaly may be helpful in the event of differential diagnosis in retroperitoneal masses. In young patients with idiopathic deep venous thrombosis, an inferior vena cava anomaly should be considered.
下腔静脉缺如是一种罕见的先天性异常，可能会被误诊。我们报告一名14岁男孩，最初因腹部疼痛性肿块入院；入院后，他左腿发生深静脉血栓形成。随后的评估发现整个下腔静脉先天性缺如，其右骨盆有一簇血栓形成的侧支静脉，与腹部肿块相对应。认识到这种异常情况可能有助于对腹膜后肿块进行鉴别诊断。在患有特发性深静脉血栓形成的年轻患者中，应考虑下腔静脉异常。
