J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3404KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(7): 813-817, 1986

Case report

A CASE OF INFERIOR VENA CAVA THROMBOSIS ASSOSIATED WITH CHOLELITHIASIS DEMONSTRATED BY ULTRASONIC EXAMINATION

Department of Thoracic Cardiovascular Surgery, School of Medicine, University of Occupational ＆ Environmental Health, Japan
*) Ist Department of Surgery, School of Medicine, University of Occupational ＆ Environmental Health, Japan

Yoshiya Ishikura, Akira Shimazu, Shigeto Odagiri, Hiroshi Yoshimatsu, Chitoshi Kadoya*), Ryusuke Okuma*)

A case of a 44 year old female with inferior vena cava thrombosis associated with cholelithiasis was reported. The patient had chest and back pain due to pulmonary embolism. Ultrasonic examination showed stone echoes in the gallbladder and thrombus echoes in the inferior vena cava (IVC) at the height from renal veins to bifulcation of iliac veins, but iliofemoral thrombosis was not found by RI angiography and venography. Anticoagurant and urokinase were administered, then pulmonary embolus disappeared and IVC thrombus reduced. IVC thrombus was removed by incision of IVC. Thrombus was white thrombus. Etiology of thrombus was not clear. IVC ligation or plication for prevention of pulmonary emboli was not carried out. Etiology, diagnosis and treatment of IVC thrombosis were also discussed.

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