Acute Medicine & Surgery (Jan 2021)

Two cases of post‐traumatic inferior vena cava thrombosis

  • Sakura Minami,
  • Naoya Suzuki,
  • Hiromu Okano,
  • Sena Mishima,
  • Kosuke Shimada,
  • Sayo Umeda,
  • Takahiro Michishita,
  • Sho Hayakawa,
  • Tsuyoshi Otsuka,
  • Hiroshi Miyazaki,
  • Ryosuke Furuya

DOI
https://doi.org/10.1002/ams2.691
Journal volume & issue
Vol. 8, no. 1
pp. n/a – n/a

Abstract

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Background Inferior vena cava thrombosis is a rare blunt abdominal trauma complication often associated with severe liver injury. We present two cases of inferior vena cava thrombosis due to mild liver injuries. Case Presentation Case 1 was a 25‐year‐old woman taking oral contraceptives for dysmenorrhea who was injured in a motorcycle accident. Contrast‐enhanced computed tomography revealed hepatic contusion of the sixth segment. At 1 week after the accident, inferior vena cava thrombosis was detected. Case 2 was a 58‐year‐old man injured in a motorcycle accident. Contrast‐enhanced computed tomography showed traumatic subarachnoid hemorrhage, right hemothorax, and liver injury with hepatic contusion of the sixth segment. At 1 week after the accident, inferior vena cava thrombosis was observed. Conclusion Inferior vena cava thrombosis can occur following liver injury, regardless of damage severity. When there are thrombogenic factors and damage near the inferior vena cava, follow‐up examinations should be carried out.

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