Spontaneous rupture of the inferior vena cava (IVC) in the setting of IVC filter thrombosis: case report

Authors

  • Daniel R Ludwig
  • Tyler J Fraum
  • G Lance White
  • Vamsi R Narra

DOI:

https://doi.org/10.3941/jrcr.v13i3.3499

Keywords:

Retroperitoneal hematoma, spontaneous, inferior vena cava rupture, inferior vena cava filter, inferior vena cava thrombosis, case report

Abstract

Spontaneous rupture of the inferior vena cava (IVC) is a rare entity. We report a case of a spontaneous IVC rupture associated with IVC filter thrombosis in a patient presenting with severe atraumatic back pain. Computed tomography (CT) identified a retroperitoneal hematoma and suggested IVC thrombosis. Magnetic resonance (MR) imaging confirmed the presence of IVC filter thrombosis and demonstrated a large defect in the infrarenal IVC, with the vessel lumen in free communication with the adjacent hematoma. The patient was managed conservatively and discharged in stable condition. MR imaging played an important role in characterizing the CT findings, which were unclear.

Author Biographies

Daniel R Ludwig

Radiology Resident at the Mallinckrodt Institute of Radiology, Washinton University, St Louis.

Tyler J Fraum

Nuclear Medicine Fellow at the Mallinckrodt Institute of Radiology, Washinton University, St Louis.

G Lance White

Radiology Resident at the Mallinckrodt Institute of Radiology, Washinton University, St Louis.

Vamsi R Narra

Professor of Radiology at the Mallinckrodt Institute of Radiology, Washinton University, St Louis.
Journal of Radiology Case Reports March 2019 issue - Cover page: Carotid Mycotic Aneurysm associated with Persistent Primitive Hypoglossal Artery. Case Report and Literature Review by Chi Long Ho et al.

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Published

2019-02-27

Issue

Vol. 13 No. 3 (2019)

Section

Interventional Radiology

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