Talebi-Taher Mahshid, Naghavi Batool, Hajsadeghi Shokoufeh, Iranpour Aida, Pahlavani Seyed Mahdi
Rasool-e-Akram General Teaching Hospital, Iran University of Medical Sciences, Tehran, Iran.
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2018 Jul;13(3):132-135.
Inferior vena cava (IVC) thrombosis is a rare medical condition. Suppurative thrombophlebitis of the IVC is even a more uncommon subtype of IVC thrombosis and is mostly associated with IVC filters or venous catheters. We describe a 66-year-old man with persistent fever and history of pyonephrosis secondary to transurethral lithotripsy 1 month before recent admission. Computed tomography scan of the chest and abdomen revealed a filling defect in the IVC protruding into the right atrium. Transesophageal echocardiogram (TEE) revealed a large mass at the origin of the IVC entering into the right atrium, suggestive of a clot. Diagnosis of suppurative thrombophlebitis of the IVC secondary to a retroperitoneal abscess was made, and intravenous antibiotic therapy for 6 weeks without anticoagulation conferred ample thrombus resolution. Follow-up TEE in week 16 showed no residual thrombus in the IVC.
下腔静脉（IVC）血栓形成是一种罕见的病症。IVC 化脓性血栓性静脉炎是 IVC 血栓形成中更为罕见的一种亚型，主要与 IVC 滤器或静脉导管相关。我们描述了一名 66 岁男性，近期入院前 1 个月因经尿道碎石术后出现持续发热及肾积脓病史。胸部和腹部计算机断层扫描显示 IVC 有一充盈缺损突入右心房。经食管超声心动图（TEE）显示 IVC 起始部有一巨大肿物进入右心房，提示为血栓。诊断为腹膜后脓肿继发的 IVC 化脓性血栓性静脉炎，给予 6 周静脉抗生素治疗且未进行抗凝，血栓充分溶解。第 16 周的随访 TEE 显示 IVC 无残余血栓。
