Unusual Causes of Venous Thrombosis: Bladder Distension and Uterine Mass.

Ann Vasc Surg

Department of Surgery, Johns Hopkins Medicine, Baltimore, MD.

Published: January 2018

Thrombosis of the inferior vena cava (IVC) continues to be a rare event, and there is a scarcity of evidence with regard to its etiology. One source for IVC thrombosis is external compression from adjacent structures. In this case series, we present 1 case of IVC thrombosis caused by a severely distended bladder and a case of external iliac thrombosis caused by external compression from an abnormally enlarged uterus. The treatment of each case is varied and included novel oral anticoagulation, catheter-directed thrombolysis in conjunction with mechanical thrombectomy, or a combination of these. We conclude that the choice of therapy should be tailored on a case-by-case basis.

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http://dx.doi.org/10.1016/j.avsg.2017.08.046DOI Listing

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