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下腔静脉缺如：年轻患者深静脉血栓形成的一个被遗忘的病因——病例报告

Inferior Vena Cava Agenesis, a Forgotten Etiology of Deep Vein Thrombosis in Young Patients: A Case Report.

作者信息

Matos Maria Inês, Grijó Carlos, Pinto Claudemira, Costa Moreira Adriana, Patacho Marta

机构信息

Internal Medicine, Centro Hospitalar Universitário de São João, Porto, PRT.

Radiology, Centro Hospitalar Universitário de São João, Porto, PRT.

出版信息

Cureus. 2024 Jul 8;16(7):e64089. doi: 10.7759/cureus.64089. eCollection 2024 Jul.

DOI:10.7759/cureus.64089
PMID:39114197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305596/
Abstract

Agenesis of the inferior vena cava (IVC) is a rare congenital anomaly that is associated with the development of extensive collateral circulation with the aim of compensating for the inadequate return of blood to the right ventricle. This collateral circulation predisposes to the emergence of venous hypertension with stasis and thrombus formation. Most cases are asymptomatic and are diagnosed incidentally. We report the case of a 28-year-old man who presented with bilateral deep vein thrombosis (DVT) as the first manifestation of agenesis of the IVC. We decided to maintain anticoagulation for an indefinite period of time after a multidisciplinary discussion. IVC agenesis should be considered a cause of DVT in young men, with bilateral and proximal thrombosis and without other risk factors. The rarity of the condition makes its therapeutic approach complex.

摘要

下腔静脉发育不全是一种罕见的先天性异常，与广泛的侧支循环形成有关，目的是补偿回流入右心室的血液不足。这种侧支循环易导致静脉高压伴血流淤滞和血栓形成。大多数病例无症状，是偶然诊断出来的。我们报告一例28岁男性，其首发表现为双侧深静脉血栓形成，为下腔静脉发育不全。经过多学科讨论后，我们决定无限期维持抗凝治疗。对于年轻男性出现双侧及近端血栓形成且无其他危险因素的深静脉血栓形成，应考虑下腔静脉发育不全为病因。该疾病的罕见性使其治疗方法较为复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/6c90609e792e/cureus-0016-00000064089-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/fc5fa8ae46bd/cureus-0016-00000064089-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/2f3ffd3fb822/cureus-0016-00000064089-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/63a31737e41e/cureus-0016-00000064089-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/9a400e8a3158/cureus-0016-00000064089-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/310b5217e606/cureus-0016-00000064089-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/0211ddf84097/cureus-0016-00000064089-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/dc49e06e1cad/cureus-0016-00000064089-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/6c90609e792e/cureus-0016-00000064089-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/fc5fa8ae46bd/cureus-0016-00000064089-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/2f3ffd3fb822/cureus-0016-00000064089-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/63a31737e41e/cureus-0016-00000064089-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/9a400e8a3158/cureus-0016-00000064089-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/310b5217e606/cureus-0016-00000064089-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/0211ddf84097/cureus-0016-00000064089-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/dc49e06e1cad/cureus-0016-00000064089-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b739/11305596/6c90609e792e/cureus-0016-00000064089-i08.jpg

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2
Inferior vena cava agenesis: a rare cause of deep vein thrombosis.下腔静脉发育不全：深静脉血栓形成的罕见原因。
BMJ Case Rep. 2022 Dec 7;15(12):e250511. doi: 10.1136/bcr-2022-250511.
3
Case Report: Inferior Vena Cava Agenesia in a Young Male Patient Presenting With Bilateral Iliac Veins Thrombosis.病例报告：一名年轻男性患者出现双侧髂静脉血栓形成伴下腔静脉发育不全
Front Surg. 2022 Mar 22;9:832336. doi: 10.3389/fsurg.2022.832336. eCollection 2022.
4
Long-term anticoagulant treatment in patients with inferior vena cava agenesis and deep vein thrombosis.下腔静脉缺如合并深静脉血栓患者的长期抗凝治疗。
Thromb Res. 2020 Dec;196:305-307. doi: 10.1016/j.thromres.2020.09.009. Epub 2020 Sep 6.
5
Inferior vena cava agenesis in patients with lower limb deep vein thrombosis in the RIETE registry. When and why to suspect.RIETE注册研究中下肢深静脉血栓形成患者的下腔静脉发育不全。何时以及为何怀疑。
Int J Cardiol. 2020 Apr 15;305:115-119. doi: 10.1016/j.ijcard.2020.01.013. Epub 2020 Jan 15.
6
Bilateral Deep Vein Thrombosis Associated with Inferior Vena Cava Agenesis in a Young Patient Manifesting as Low Back Pain.一名年轻患者表现为腰痛，双侧深静脉血栓形成与下腔静脉发育不全相关。
Acta Med Port. 2017 Apr 28;30(4):333-337. doi: 10.20344/amp.7744.
7
The clinical anatomy of the inferior vena cava: a review of common congenital anomalies and considerations for clinicians.下腔静脉的临床解剖学：常见先天性异常综述及临床医生的考量
Clin Anat. 2014 Nov;27(8):1234-43. doi: 10.1002/ca.22445. Epub 2014 Jul 17.
8
Inferior vena cava agenesis and deep vein thrombosis: 10 patients and review of the literature.下腔静脉发育不全和深静脉血栓形成：10 例患者及文献复习。
Vasc Med. 2010 Dec;15(6):451-9. doi: 10.1177/1358863X10391355.
9
Epidemiology and risk factors for venous thrombosis.静脉血栓形成的流行病学及危险因素
Semin Hematol. 2007 Apr;44(2):62-9. doi: 10.1053/j.seminhematol.2007.02.004.
10
Thrombosis in the young: epidemiology and risk factors. A focus on venous thrombosis.
Thromb Haemost. 1997 Jul;78(1):1-6.