Epperla Narendranath, Usoltseva Natalia
Department of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Department of Internal Medicine, Cascade Skagit Health Alliance, Mount Vernon, Washington, USA.
BMJ Case Rep. 2014 Dec 22;2014:bcr2014206214. doi: 10.1136/bcr-2014-206214.
Unprovoked deep venous thrombosis (DVT) in young adults is an unusual phenomenon, but it is associated with significant morbidity. Developmental anomalies of the inferior vena cava (IVC) should be considered as a possible aetiological factor, and appropriate investigations should be performed to determine the conclusive diagnosis and necessary treatment plan. We report a case of spontaneous thrombosis of the IVC and bilateral iliac venous system in a young man, associated with membranous obstruction of the IVC. He was diagnosed using several different investigational techniques, and successfully treated with mechanical thrombectomy, thrombolysis therapy and anticoagulation.
年轻成人的特发性深静脉血栓形成（DVT）是一种不寻常的现象，但它与严重的发病率相关。下腔静脉（IVC）的发育异常应被视为可能的病因，应进行适当的检查以确定最终诊断和必要的治疗方案。我们报告一例年轻男性下腔静脉及双侧髂静脉系统自发性血栓形成的病例，伴有下腔静脉膜性梗阻。通过几种不同的检查技术对其进行了诊断，并成功地采用机械血栓切除术、溶栓治疗和抗凝治疗。
