Right Iliofemoral Venous Thrombosis in a Prothrombin 20210GA carrier with Duplicated Inferior Vena Cava. An Unusual Case Report
Journal: International Journal of Vascular Surgery and Medicine (Vol.3, No. 3)Publication Date: 2017-12-29
Authors : Konstantinos Tigkiropoulos Emmanouil Papadakis Ioannis Lazaridis; Nikolaos Saratzis;
Page : 043-045
Keywords : Double inferior vena cava; Iliofemoral venous thrombosis; Magnetic resonance venography; Prothrombin G20210A gene mutation;
Abstract
Venous thromboembolism, presenting as deep vein thrombosis (DVT) is a disease affected by aging, with a low rate of about 1 per 10,000 annually before the fourth decade of life, rising rapidly after age 45 years, and approaching 5–6 per 1000 annually by age 80. We present the case of a 69-years old woman who presented to our emergency department with unilateral lower limb pain and swelling. Subsequent imaging revealed a right iliofemoral deep vein thrombosis, with associated duplication of her inferior vena cava. Thrombophilic screening revealed a prothrombin 20210A gene mutation. She was treated conservatively with Low Molecular Weight Heparin (LMWH) and elastic stockings.
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