Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Mar 25;12(1):87-90.
doi: 10.3400/avd.cr.18-00110.

Inferior Vena Cava Compression Caused by a Retroperitoneal Hematoma Following an Abdominal Aortic Aneurysm Rupture

Akihiko Ikeda  1   2
Affiliations

Inferior Vena Cava Compression Caused by a Retroperitoneal Hematoma Following an Abdominal Aortic Aneurysm Rupture

Akihiko Ikeda. Ann Vasc Dis. .

Abstract

This report presents the case of a 43-year-old man with inferior vena cava (IVC) compression caused by a retroperitoneal hematoma following an abdominal aortic aneurysm (AAA) rupture. Preoperative computed tomography scans revealed an infrarenal AAA with a retroperitoneal hematoma nearly occluding the IVC. After emergency aortic grafting, IVC thrombosis, deep venous thrombosis (DVT), and pulmonary thromboembolism (PTE) arose. Anticoagulation therapy resolved these thrombotic complications. Disappearance of the hematoma and IVC recanalization were confirmed 3 months postoperatively. Although IVC compression caused by a retroperitoneal hematoma is temporary, careful attention should be paid to IVC thrombosis, DVT, and PTE as possible complications.

Keywords: deep venous thrombosis; inferior vena cava compression; ruptured abdominal aortic aneurysm.

PubMed Disclaimer

Figures

None
Fig. 1 Preoperative computed tomography (CT).
None
Fig. 2 Follow-up computed tomography (CT) performed on postoperative day 12.
None
Fig. 3 Follow-up computed tomography (CT) performed 3 months postoperatively.
See this image and copyright information in PMC

References

    1. Kraft C, Schuettfort G, Weil Y, et al. Thrombosis of the inferior vena cava and malignant disease. Thromb Res 2014; 134: 668-73. - PubMed
    1. Palmer MA. Inferior vena cava occlusion secondary to aortic aneurysm. J Cardiovasc Surg (Torino) 1990; 31: 372-4. - PubMed
    1. Combe J, Besancenot J, Milleret P, et al. Iliocaval venous compression due to aneurysm of the abdominal aorta: report of ten cases. Ann Vasc Surg 1990; 4: 20-5. - PubMed
    1. Snider RL, Porter JM, Eidemiller LR. Inferior vena caval obstruction caused by expansion of an abdominal aortic aneurysm: report of a case and review of the literature. Surgery 1974; 75: 613-6. - PubMed
    1. Gertner MH, Hargrove WC, Roberts B. A ruptured abdominal aortic aneurysm presenting as inferior vena caval obstruction. Surgery 1978; 83: 605-8. - PubMed