Inferior vena cava thrombosis: an unusual complication of a large simple non-parasitic liver cyst requiring an integrated approach.
Most of the simple hepatic cysts are asymptomatic and have a benign course. However, some exceptional life-threatening complications may occur. We herein report the successful management of a case who suffered from a cystic compression of the inferior vena cava complicated by thrombosis of the inferior vena cava itself. To our knowledge this is the first report of such a complication and diagnostic and therapeutic aspects are discussed. This case is paradigmatic of the possible complexity of the diagnosis and treatment of cystic lesions of the liver and should induce physicians to consider a therapeutic approach if a clear tendency to enlarge can be recognized.
Torzilli
Guido
G
Hepatobiliary Unit, University of Milano, Ospedale San Paolo Via A. di Rudinu, 8-20143 Milano, Italy.
Santambrogio
Roberto
R
Vellini
Silvia
S
Palmisano
Angela
A
Donadon
Matteo
M
Cornalba
Gianpaolo
G
Montorsi
Marco
M
D000368:Aged; D000792:Angiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003560:Cysts / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D020878:Device Removal; D004322:Drainage; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008107:Liver Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery