Inferior vena cava syndrome and morbid obesity.
A case is reported of inferior vena cava syndrome in a patient with extreme obesity (BMI: >70 kg/m(2)), treated at a public hospital. The inferior vena cava obstruction was diagnosed during an attempt at inferior vena cava filter percutaneous insertion, in prebariatric surgery period. The diagnosis occurred after a hepatic scintillography, and was confirmed with a femoral venography and celiac trunk arteriography. The patient underwent a biliopancreatic diversion-duodenal switch and has lost weight. A venography 7 months after the surgery did not show any inferior vena cava rechanneling evidence.
Class III Obesity Care Center, Hospital Nossa Senhora Conceição, 71 Ivan Iglesias St., Porto Alegre, Rio Grande do Sul 91210340, Brazil. nelsonmeinhardt@gmail.com
Nelson Guardiola
NG
Meinhardt
Kátia Elisabete Pires
KE
Souto
Alexis Vasiluk
AV
Knebel
Airton Tetelbom
AT
Stein
D000328:Adult; D015904:Biliopancreatic Diversion; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery; D014652:Vascular Diseases / Q000453:epidemiology*; D014682:Vena Cava, Inferior