title: Unprovoked deep venous thrombosis in a young adult associated with membranous obstruction of inferior vena cava.
abstract: Unprovoked deep venous thrombosis (DVT) in young adults is an unusual phenomenon, but it is associated with significant morbidity. Developmental anomalies of the inferior vena cava (IVC) should be considered as a possible aetiological factor, and appropriate investigations should be performed to determine the conclusive diagnosis and necessary treatment plan. We report a case of spontaneous thrombosis of the IVC and bilateral iliac venous system in a young man, associated with membranous obstruction of the IVC. He was diagnosed using several different investigational techniques, and successfully treated with mechanical thrombectomy, thrombolysis therapy and anticoagulation.
authors.affiliation: Department of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Narendranath
authors.initials: N
authors.lastname: Epperla
authors.affiliation: Department of Internal Medicine, Cascade Skagit Health Alliance, Mount Vernon, Washington, USA.
authors.forename: Natalia
authors.initials: N
authors.lastname: Usoltseva
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006502:Budd-Chiari Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007084:Iliac Vein / Q000473:pathology*; D008297:Male; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000473:pathology; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D000925:Anticoagulants