Congenital Agenesia of the Inferior Vena Cava: A Diagnosis to Mention in Front of a Deep Vein Thrombosis
Published: 2020-07-23
Page: 82-89
Issue: 2020 - Volume 3 [Issue 1]
Raja Amri
Service de Médecine Interne, CHU Nabeul, Tunisia.
Romdhane Denguezli
Department of Plastic, Reconstructive, Burn and Hand Surgery, Faculty of Medicine of Tunis, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Wafa Garbouj
Service de Médecine Interne, CHU Nabeul, Tunisia.
Khaled Bouzaidi
Service de Radiologie, Faculté de Medecine de Tunis, CHU Nabeul, Université El Manar, Tunisia.
Manel Loukil
Service de Pneumologie, Faculté de Medecine de Tunis, CHU Nabeul, Université El Manar, Tunisia.
Mohamed Ali Sbai *
Department of Plastic, Reconstructive, Burn and Hand Surgery, Faculty of Medicine of Tunis, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Congenital agenesia of the inferior vena cava (IVC) is an extremely rare morphological anomaly in the general population; found in approximately 0.0005% to 1% [1]. It is a rare cause of deep vein thrombosis (DVT) and could be responsible for less than 5% of thromboses without a contributory factor in subjects under 30 years of age [2].
We present a case of DVT agenesis, demonstrated by a CT angiography, performed as part of the etiologic assessment of extensive, bilateral and recurrent deep venous thrombosis (DVT), in a young 24-year-old man.
We discuss the mechanisms of occurrence of thrombosis associated with IVC agenesis and their possible clinical and therapeutic features.
Keywords: Deep vein thrombosis, agenesia, inferior vena cava.