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외상성 간피막하 혈종 압박에 의한 단독 하대정맥 혈전증

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Author(s)
김용훈강구정김형태최진수임태진
Keimyung Author(s)
Kim, Yong HoonKang, Koo JeongKim, Hyoung TaeLim, Tae JinChoi, Jin Soo
Department
Dept. of Surgery (외과학)
Dept. of Radiology (영상의학)
Journal Title
대한외과학회지
Issued Date
2006
Volume
71
Issue
2
Abstract
The incidence of acute deep vein thrombosis after multiple trauma has been reported to range from 1.7 to 10%. In general, a thrombus of the calf vein migrates to the proximal vein. An isolated inferior vena cava (IVC) thrombosis without a peripheral venous thrombosis is rare. A 35-year-old woman was admitted as a result of a large subcapsular hematoma in the right hepatic lobe after a blunt injury caused by an automobile accident. The thrombus in the IVC was detected incidentally during a follow up CT scan three weeks after the trauma. A compression of the IVC by the displaced hepatic parenchyme as a result of a large subcapsular hematoma is a possible mechanism for the IVC thrombosis because there was no distal venous thrombosis and no evidence of hypercoagulability. A retrievable caval filter (Gunther- TulipTM, Cook Inc. Bloominton, USA) was placed in the suprarenal vena cava via the right internal jugular venous approach. After placing the retrieval caval filter, aspiration thrombectomy was attempted through the right femoral vein. The luminal patency of the IVC was restored immediately after retrieving the thrombus. The subcapsular hematoma in the right hepatic lobe disappeared two months later and there was no evidence of a residual thrombus in the inferior vena cava.
Alternative Title
Isolated Inferior Vena Cava Thrombosis after Traumatic Hepatic Injury
Keimyung Author(s)(Kor)
김용훈
강구정
김형태
임태진
최진수
Publisher
School of Medicine
Citation
김용훈 et al. (2006). 외상성 간피막하 혈종 압박에 의한 단독 하대정맥 혈전증. 대한외과학회지, 71(2), 152–155.
Type
Article
ISSN
1226-0053
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38214
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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