Hepatic vein and inferior vena caval thrombus extending into the right atrium: a rare complication of amoebic liver abscess.
Amoebic liver abscess is an endemic in developing countries but few cases of associated vascular complications have been reported. The authors report a very rare vascular complication of hepatic veins and inferior vena caval (IVC) thrombosis extending into the right atrium in a young male with large amoebic liver abscess. Optimal result was achieved with early diagnosis on CT scan, percutaneous drainage of abscess, intravenous metronidazole, peri-operative anticoagulation, sternotomy and thrombectomy.
Department of Surgery, The Aga Khan University Hospital, Stadium Road, Karachi.
Zia-ur-Rehman
A Rehman
AR
Alvi
Shahida
S
Bibi
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000209:etiology* / Q000473:pathology; D004444:Echinococcosis, Hepatic / Q000150:complications*; D006325:Heart Atria / Q000473:pathology*; D006801:Humans; D008297:Male; D014682:Vena Cava, Inferior / Q000473:pathology*; D020246:Venous Thrombosis / Q000209:etiology* / Q000473:pathology