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Ruptured inferior vena cava aneurysm in the setting of mural vascular malformation: A case report
Author(s) -
Momeni Mohammad,
Momeni Fatemeh
Publication year - 2019
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22708
Subject(s) - medicine , inferior vena cava , aneurysm , radiology , nephrectomy , vascular malformation , thrombosis , surgery , vascular anomaly , abdominal ultrasonography , kidney , ultrasonography
Aneurysm of the inferior vena cava is a rare anomaly with a very few reported cases worldwide. We report the case of a 26‐years‐old man with acute severe abdominal pain and hypovolemic shock following an episode of syncope. Ultrasonography showed a fusiform aneurysmal dilation of the infra‐hepatic inferior vena cava (IVC), with a large saccular portion at its posterolateral wall and mural thrombosis. Abdominal computed tomography scan revealed extension to the right renal vein and adhesion to the right kidney. The saccular aneurysm and the right kidney were resected, and anatomopathological examination revealed a cavernous hemangioma. All symptoms disappeared after surgery. This is the first reported case of symptomatic congenital saccular aneurysm of the IVC due to mural vascular malformation and with involvement of the right kidney leading to nephrectomy.