Journal of Radiology Case Reports, Vol 13, No 3 (2019)

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

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

Daniel R Ludwig, Tyler J Fraum, G Lance White, Vamsi R Narra

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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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