Case Reports in Vascular Medicine
Volume 2015 (2015), Article ID 651436, 3 pages
http://dx.doi.org/10.1155/2015/651436
Deep Vein Thrombosis Provoked by Inferior Vena Cava Agenesis
Department of Internal Medicine, Michigan State University, Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503, USA
Received 13 September 2015; Revised 21 November 2015; Accepted 8 December 2015
Academic Editor: Matthias Reinhard
Copyright © 2015 Raad A. Haddad et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Inferior vena cava agenesis (IVCA) is a rare congenital anomaly that can be asymptomatic or present with vague, nonspecific symptoms, such as abdominal or lower back pain, or deep vein thrombosis (DVT). Here, we present a 55-year-old male who came with painless swelling and redness of his left lower limb. On examination, swelling and redness were noted extending from the left foot to the upper thigh; it was also warm compared to his right lower limb. Venous Doppler ultrasound was done which showed DVT extending up to the common femoral vein. Subsequently, computed-tomography (CT) of the chest and abdomen was done to exclude malignancy or venous flow obstruction; it revealed congenital absence (agenesis) of the infrarenal inferior vena cava (IVC).