A case of inferior vena cava atresia complicated by bilateral deep vein thrombosis.
Venous thromboembolism; Anticoagulant therapy; Bilateral iliac stent; Inferior vena cava atresia; Kissing iliac stent
In this report, we describe a case of deep vein thrombosis with suspected congenital inferior vena cava atresia treated with thrombolysis, angioplasty, and bilateral "kissing" iliac stent placement. An 18-year-old male presented with left common iliac vein thrombus and suspected congenital inferior vena cava atresia. He was treated over 4 days and discharged on anticoagulation which was continued long-term. These treatments were shown to be clinically successful in treating and preventing re-thrombosis in the context of inferior vena cava atresia initially presenting with symptomatic bilateral lower extremity deep vein thrombosis. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Khoncarly S; Edwards N; Buchino JJ; McDaniel JD
Radiology Case Reports
2021
2021-04-18
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1016/j.radcr.2021.03.031" target="_blank" rel="noreferrer noopener">10.1016/j.radcr.2021.03.031</a>
Calciphylaxis: The potential diagnostic role of radiologists.
Abdominal pain; Acinetobacter baumannii; Calcific uremic arteriolopathy; Calciphylaxis; Calcium acetate; Cinacalcet; Livedo reticularis; Radiology; Splenic infarction
Calciphylaxis is a deadly disease that is currently diagnosed through a skin biopsy of resultant necrotic lesions despite many cases lacking this characteristic finding. Recently, research has demonstrated the ability of various radiologic techniques to detect calciphylaxis and have promoted their capabilities in earlier diagnosis without tissue invasion. In this case, an obese 55-year-old female with end stage renal disease, and a long history of dialysis, complained of weeks of persistent abdominal pain that was accompanied by a mottled, lacey, net-like rash that resembled livedo reticularis. Computed tomography of the abdomen revealed extensive arterial calcification and subcutaneous calcium deposition. These radiologic findings, coupled to a high clinical suspicion, prompted treatment for suspected calciphylaxis. Remarkably, after 1 week the patient reported substantial improvement. Hopefully, this publication in conjunction with previous and future research will raise awareness on the role Radiologists can play in expediting the diagnostic process for a lethal disease, especially when a tissue biopsy is not a feasible option.
Burdorf BT
Radiology Case Reports
2021
2021-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1016/j.radcr.2020.11.033" target="_blank" rel="noreferrer noopener">10.1016/j.radcr.2020.11.033</a>