Aneurysm of the inferior vena cava in a 5-year-old boy.
The authors present a case of an aneurysm of the inferior vena cava in a 5-year-old boy. The boy suffered from acute pulmonary and paradoxical cerebral embolism after a minor abdominal trauma. Magnetic resonance angiography was the key for correct diagnosis of the retroperitoneal process and helped develop a strategy for surgery. The boy underwent resection of the aneurysm and a prosthetic replacement of the distal inferior vena cava. Aneurysms of the inferior vena cava are very rare conditions. The diagnosis is difficult because they may mimic a retroperitoneal tumor. Thrombosis and embolism are common complications of aneurysms of the vena cava.
Lochbuehler
Helmut
H
Departments of Pediatric Surgery, Pediatric Radiology, Pediatric Cardiology, and Pediatric Intensive Care, Olgahospital Stuttgart, Stuttgart, Germany.
Weber
Harduin
H
Mehlig
Ulrike
U
Winkler
Peter
P
Uhlemann
Frank
F
D015746:Abdominal Pain / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D002675:Child, Preschool; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D011655:Pulmonary Embolism / Q000209:etiology; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery