Levard G, el Ghoneimi A, Aigrain Y, Boureau M
Clinique Chirurgicale Infantile, Hôpital Bretonneau, Paris.
Chir Pediatr. 1988;29(4):201-4.
A new case of calcified thrombus in the Inferior Vena Cava is described, and added to the 19 previously reported cases in literature. The etiology of these calcified thrombi is unknown, but a precise diagnostic an therapeutic approach is now well established. On plain X-ray of the abdomen, the right paravertebral bullet-shaped calcification is diagnostic. No further investigations are necessary, except in the neonatal period, when the thrombus is incompletely calcified, suggesting neuroblastoma or adrenal hemorrhage. Definitive diagnosis, in that case, can be made by abdominal ultrasonography. In the current state of our knowledge, the clinical tolerance of this anomaly is excellent. No specific treatment appears to be necessary.
本文描述了一例下腔静脉钙化血栓的新病例，并将其纳入文献中先前报道的19例病例。这些钙化血栓的病因尚不清楚，但目前已经建立了精确的诊断和治疗方法。在腹部平片上，右椎旁子弹形钙化具有诊断意义。除新生儿期外，无需进一步检查，因为此时血栓钙化不完全，提示神经母细胞瘤或肾上腺出血。在这种情况下，可通过腹部超声进行明确诊断。就我们目前的认知而言，这种异常情况的临床耐受性良好。似乎无需特殊治疗。
