Acute Aortic Occlusion by Massive Piling-Up of Large Unstable Thoraco-Abdominal Thrombi Attributable to Heparin-Induced Thrombocytopenia

A 64-year-old woman was admitted to the hospital for an acute right leg pain. Clinical examination, revealing a slightly discolored foot with no pedal pulse, went in favor of a limb embolism. Her past medical history was relevant for an endometrial adenocarcinoma treated by radical surgery and adjuvant chemotherapy. The patient confessed being on a 6-week-long course of low-molecular-weight heparin for her port-a-cath occlusion. Subsequent enhanced CT scan showed numerous large aortic mural thrombi (Figure 1). She had a thrombopenia of 120 000 platelets/mL and an anemia of …