Yonsei Med J.
2004 Oct;45(5):947-951. 10.3349/ymj.2004.45.5.947.
Congenital Absence of Inferior Vena Cava as a Rare Cause of Pulmonary Thromboembolism
- Affiliations
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- 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 2Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Gyeonggido, Korea. minny@nhimc.or.kr
- 3Department of Radiology, National Health Insurance Corporation Ilsan Hospital, Gyeonggido, Korea.
- KMID: 1103923
- DOI: http://doi.org/10.3349/ymj.2004.45.5.947
Abstract
- Interruption of the inferior vena cava IVC) with azygos continuation is an uncommon vascular anomaly that results from aberrant development during embryogenesis. We report a rare case of this anomaly, presenting with massive pulmonary embolism. Subsequent evaluation with abdominal CT scan revealed the congenital absence of retrohepatic IVC. The patient was successfully treated with anticoagulation. When deep venous thrombosis (DVT) develops in patients with no apparent risk factors, the presence of congenital IVC anomalies should be considered.
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