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KMID : 0870420140180030097
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2014 Volume.18 No. 3 p.97 ~ p.100
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Management of inferior vena cava thrombosisafter blunt liver injury
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Kim Kyung-Yun
So Byung-Jun
Park Dong-Eun
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Abstract
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Inferior vena cava (IVC) thrombosis after traumatic liver injury is an extremely rare condition, and only 12 cases have been reported in the English literature since 1911. We report a case of a 26-year-old man who presented with IVC thrombosis after blunt liver injury. IVC thrombosis was incidentally detected by computed tomography 15 days after con-servative management of blunt liver injury. The patient denied any symptoms of thrombophlebitis and did not have any evidence of hypercoagulable state. We placed an IVC filter via the right jugular vein and started the anticoagulation treatment. The patient recovered successfully without operative treatment and IVC thrombosis disappeared completely two months later. We suggest that that the possibility of IVC thrombosis should be considered in patients with a large hematoma of the liver, which may cause compression of the IVC. (Korean J Hepatobiliary Pancreat Surg 2014;18:97-100)
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KEYWORD
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Liver injury, Hematoma, Inferior vena cava, Thrombosis
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