Author/Authors :
talebi-taher, mahshid iran university of medical sciences - rasool-e-akram general teaching hospital, Tehran, Iran , naghavi, batool iran university of medical sciences - rajaie cardiovascular, medical, and research center, Tehran, Iran , hajsadeghi, shokoufeh iran university of medical sciences - rasool-e-akram general teaching hospital, Tehran, Iran , iranpour, aida iran university of medical sciences - firoozabadi general hospital - department of internal medicine, Tehran, Iran , pahlavani, mahdi harvard medical school - beth israel deaconess medical center - department of medicine, Boston, USA
Abstract :
Inferior vena cava (IVC) thrombosis is a rare medical condition. Suppurative thrombophlebitis of the IVC is even a more uncommon subtype of IVC thrombosis and is mostly associated with IVC filters or venous catheters. We describe a 66-year old man with persistent fever and history of pyonephrosis secondary to transurethral lithotripsy 1 month before recent admission. Computed tomography scan of the chest and abdomen revealed a filling defect in the IVC protruding into the right atrium. Transesophageal echocardiogram (TEE) revealed a large mass at the origin of the IVC entering into the right atrium, suggestive of a clot. Diagnosis of suppurative thrombophlebitis of the IVC secondary to a retroperitoneal abscess was made, and intravenous antibiotic therapy for 6 weeks without anticoagulation conferred ample thrombus resolution. Follow-up TEE in week 16 showed no residual thrombus in the IVC.
