Department of Urology, University of Virginia, Virginia VA 22908 USA.
Vascular Medicine, Department of Cardiology, University of Virginia, Virginia, USA.
Curr Med Imaging. 2022;18(3):353-356. doi: 10.2174/1573405617666210623152051.
Benign external compression of the Inferior Vena Cava (IVC) with distal thrombus formation is seldomly described in the medical literature.
We report a case of external IVC compression by a dilated right renal pelvis and hydronephrotic kidney secondary to longstanding Ureteropelvic Junction (UPJ) obstruction found in a 68-year-old male. Management included therapeutic anticoagulation, IVC filter placement, attempted thrombectomy by interventional radiology, and interval repeats imaging. This patient demonstrated complete resolution of the caval thrombus on repeat imaging 2 months following discharge. This case highlights the importance of interdisciplinary team coordination, a crucial component of patient's management and eventual treatment plan. It is reasonable to manage patients with IVC thrombus with anticoagulation alone.
In the modern era, angiointerventional techniques provide minimally invasive approaches to the management of vascular disorders and minimize morbidity.
下腔静脉（IVC）的良性外部压迫伴远端血栓形成在医学文献中很少见。
我们报告了一例由扩张的右肾盂和积水的肾脏引起的 IVC 外部压迫的病例，该病例继发于 68 岁男性的长期肾盂输尿管连接部（UPJ）梗阻。治疗包括抗凝治疗、IVC 滤器置入、介入放射学尝试血栓切除术，以及重复影像学检查。该患者在出院后 2 个月的重复影像学检查中显示腔静脉血栓完全溶解。本病例强调了多学科团队协调的重要性，这是患者管理和最终治疗计划的关键组成部分。仅用抗凝治疗来管理 IVC 血栓患者是合理的。
在现代，血管内介入技术为血管疾病的管理提供了微创方法，并最大限度地降低了发病率。
