The Teaching Point

Spontaneous rupture of the IVC is an extremely rare entity, and in the presented case, IVC filter thrombosis with extensive associated DVT was presumably the etiology. MR imaging, which played an important role in elucidating the etiology of the hemorrhage by means of direct visualization of an IVC mural defect, can be helpful as a problem solving tool in cases of unexplained retroperitoneal hematomas.






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From the manuscript

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

Free full text article: Spontaneous rupture of the inferior vena cava (IVC) in the setting of IVC filter 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.






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