A case of dysplastic stenosis of the infra-renal segment of inferior vena cava, with acute thrombosis and ischaemia of the left lower limb, is reported. Emergency thrombectomy, with pre- and post-surgery anticoagulant therapy, resulted in perfect recovery. As a comment on this case, various types of vena cava dysplasia, and possible causes of vena cava thrombosis, are briefly reviewed.
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