A 49 y/o woman with bilateral lower extremities

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Doctor's Information

Name : Morteza
Family :Sanei Taheri
Affiliation : Radiology Department,Shohada Tajrish Hospital,SBMU

Academic Degree: Associate Professor of Radiology

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Resident : Ramin Pourghorban

Patient's Information

Gender : Female
Age : 49

Case Section

Cardiovascular

Clinical Summary

a 49 y/o woman with bilateral lower extremities varices

Imaging Procedures and Findings

coronal MRV after contrast injection via both ankles area shows IVC thrombosis with extension to both common iliac veins. collateral veins in peripheral abdominal area are also evident on coronal MIP. These findings are also confirmed in color doppler study which shows common iliac vein and IVC partial thrombosis. lack of respiratory phasicity in spectral study is also noted.

Discussion

thrombosis of the inferior vena cava (IVC) is an underrecognized entity with a variety of clinical presentations. The outcome of patients with IVCT is often determined by the underlying condition that initially caused the thrombosis. However, some general statements can be made. The impact and outcome of IVCT are as variable as the clinical presentation. From a global standpoint, IVCT represents a subset of DVT. Virchow recognized and described the factors predisposing a patient to venous thrombosis. The triad of stasis, vessel injury, and hypercoagulability formulated by Virchow remain the foundation for understanding of the pathophysiology of DVT in general and for IVCT in particular.