title: Acute pancreatitis complicated by massive inferior vena cava and right atrial thrombosis: a case report.
abstract: Venous thrombosis is a relatively common complication of acute pancreatitis. A 58-year-old man came to our emergency department with abdominal pain. Pancreatitis complicated with a huge thrombosis through inferior vena cava (IVC) to right atrium and left renal vein was diagnosed. Gabexate and enoxaparin were administered for pancreatitis and thrombosis. Surgical removal of thrombosis was considered but was not possible because of poor general condition. Despite conservative management, the patient expired. We believe this is the first case of pancreatitis complicated by right atrial thrombosis.
authors.affiliation: Department of Emergency Medicine, National Medical Center, Seoul, Korea.
authors.forename: Kangeui
authors.initials: K
authors.lastname: Lee
authors.affiliation: Department of Emergency Medicine, National Medical Center, Seoul, Korea.
authors.forename: Jung-In
authors.initials: JI
authors.lastname: Ko
authors.affiliation: Department of Emergency Medicine, National Medical Center, Seoul, Korea. Electronic address: NMCemergency@gmail.com.
authors.forename: Taejin
authors.initials: T
authors.lastname: Park
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D017809:Fatal Outcome; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000175:diagnosis; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior