Hepatic vena cava syndrome: a case report and literature review.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-05-28 eCollection Date: 2025-05-01 DOI:10.1093/omcr/omaf035

Muhammad Zahid, Mohammad Es-Salim, Moaz O Moursi, Nabil Mahmood, Abdel-Naser Elzouki

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引用次数: 0

Abstract

Background: Hepatic vena cava syndrome (HVCS) is an uncommon condition, with no prior reports from the Gulf area. In regions with limited resources, where this disease is found, there is a lack of data due to underdiagnosis. HVCS results from recurrent bacterial thrombophlebitis of the hepatic portion of the inferior vena cava (IVC), causing intimal thickening and obstruction, eventually leading to complications like liver cirrhosis and hepatocellular carcinoma.

Case presentation: A 32-year-old Afghan refugee lady, presented with progressive abdominal distention. Initial investigations showed anemia, splenomegaly, and massive ascites. Further investigations revealed cirrhotic liver, varices, and a stenotic segment of the IVC. She was diagnosed with HVCS, underwent IVC stenting, and commenced on clopidogrel and dabigatran. Conclusion Often misdiagnosed, HVCS requires a high index of suspicion and should be considered in patients with liver cirrhosis with low socioeconomic backgrounds. Early diagnosis can prevent liver cirrhosis and hepatocellular carcinoma.

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肝腔静脉综合征1例报告并文献复习。

背景：肝腔静脉综合征（HVCS）是一种罕见的疾病，在海湾地区没有报道。在发现这种疾病的资源有限的区域，由于诊断不足而缺乏数据。HVCS是由下腔静脉（IVC）肝段复发性细菌性血栓性静脉炎引起的，引起内膜增厚和阻塞，最终导致肝硬化、肝细胞癌等并发症。病例介绍：一名32岁阿富汗难民妇女，表现为进行性腹胀。初步调查显示贫血、脾肿大和大量腹水。进一步的检查显示肝硬化、静脉曲张和下腔静脉狭窄。她被诊断为HVCS，接受了下腔静脉支架植入，并开始使用氯吡格雷和达比加群。结论HVCS易误诊，需要高度的怀疑指数，应在社会经济背景较低的肝硬化患者中予以考虑。早期诊断可预防肝硬化和肝细胞癌。

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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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.