Angio-Jet Thrombolysis for Traumatic Inferior Vena Cava Thrombosis; Case Report and Review of Literature.

Medical archives (Sarajevo, Bosnia and Herzegovina) Pub Date : 2024-01-01 DOI:10.5455/medarh.2024.78.164-169

Humood Alsadery, Omar Abdulqader Bamalan, Kawther Abduljabbar Boumarah, Ali Alsaffar, Bander Aldhafery, Mohammed S Foula, Mamoun Nabri, Adel G Elbagir

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Abstract

Background: Inferior vena cava thrombosis (IVC-Th) is a rare clinical entity after blunt abdominal trauma. It has both diagnostic and therapeutic dilemmas. Pulmonary embolism is the most dreadful complication and the leading cause of mortality after IVC-Th. Therefore, accurate prompt diagnosis is crucial.

Objective: The aim of this article was to present a case of IVC-Th in a young male patient who had a blunt traumatic abdominal injury after a motor vehicle accident.

Case presentation: The patient was brought to emergency department and was successfully managed by angio-jet thrombolysis. He developed a transient contrast nephropathy that was recovered after continuous renal replacement therapy. Several management options have been proposed in the literature, including conservative, endovascular and operative management.

Conclusion: Angio-jet is a recent promising technique for managing of venous thrombosis. However, its use in cases of IVC-Th is not extensively discussed in the literature.

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血管喷射溶栓治疗外伤性下腔静脉血栓；病例报告和文献综述。

背景：下腔静脉血栓（IVC-Th）是腹部钝性创伤后一种罕见的临床症状。它同时存在诊断和治疗难题。肺栓塞是最可怕的并发症，也是导致 IVC-Th 死亡的主要原因。因此，准确及时的诊断至关重要：本文旨在介绍一例车祸后腹部钝性外伤的年轻男性患者的 IVC-Th 病例：患者被送到急诊科，并成功接受了血管喷射溶栓治疗。他出现了一过性造影剂肾病，经持续肾脏替代治疗后痊愈。文献中提出了多种治疗方案，包括保守治疗、血管内治疗和手术治疗：结论：血管喷射术是近来治疗静脉血栓的一种很有前途的技术。结论：血管喷射技术是近来治疗静脉血栓的一种很有前途的技术，但其在 IVC-Th 病例中的应用尚未在文献中得到广泛讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Medical archives (Sarajevo, Bosnia and Herzegovina)

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