Davidovic L, Dragas M, Bozic V, Takac D
Institute for Cardiovascular Diseases, Clinical Centre of Serbia, Serbia.
Phlebology. 2008;23(4):184-8. doi: 10.1258/phleb.2008.008008.
Aneurysms of the inferior vena cava (IVC) are extremely rare. To the best of our knowledge, only 29 cases of IVC aneurysms are published in literature. We present a new case of surgically treated symptomatic saccular aneurysm of the infrarenal IVC and review previously published cases. Following resection of the aneurysm and the thrombosed infrarenal IVC, the patient fully recovered. Thrombosed IVC aneurysm may mimic a retroperitoneal tumour. In some cases, CT and MRI findings may be equivocal. Surgical treatment is indicated in all symptomatic and low-risk asymptomatic cases.
下腔静脉(IVC)动脉瘤极为罕见。据我们所知,文献中仅报道了29例IVC动脉瘤病例。我们报告一例经手术治疗的肾下IVC症状性囊状动脉瘤新病例,并回顾既往发表的病例。切除动脉瘤及血栓形成的肾下IVC后,患者完全康复。血栓形成的IVC动脉瘤可能类似腹膜后肿瘤。在某些情况下,CT和MRI表现可能不明确。所有有症状及低风险无症状病例均需手术治疗。