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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


IBANEZ FRANCO, Elvis Javier. Extensive venous thrombosis in a patient with inferior vena cava agenesis. Rev. virtual Soc. Parag. Med. Int. [online]. 2022, vol.9, n.1, pp.122-125. ISSN 2312-3893.

We present the case of a 22-year-old male patient with deep vein thrombosis of the inferior vena cava, iliac and femoral veins, who presents as risk factors an agenesis of the suprarenal portion of the inferior vena cava and systemic lupus erythematosus. In addition, the presence of total situs inversus was evidenced, a condition that is associated with venous malformations present in the case.

As treatment, anticoagulation was used with low molecular weight heparin and subsequently oral anticoagulant. Despite the extensive territory of the thrombosis, the need to install a filter in the inferior vena cava was ruled out due to its absence in the right atrium. Repermeabilization with thrombolytic therapy was attempted without success.

Keywords : systemic lupus erythematosus; venous thrombosis; inferior vena cava; situs inversus.

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