Suppurative Thrombophlebitis of the Inferior Vena Cava Resolved with Intravenous Antibiotic Therapy: A Case Report

  • Mahshid Talebi-Taher Rasool-e-Akram General Teaching Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Batool Naghavi Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran.
  • Shokoufeh Hajsadeghi Rasool-e-Akram General Teaching Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Aida Iranpour Department of Internal medicine, Firoozabadi General Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Seyed Mahdai Pahlavani Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Keywords: Venous thrombosis, Pyonephrosis, Echocardiography

Abstract

Inferior vena cava (IVC) thrombosis is a rare medical condition. Suppurative thrombophlebitis of the IVC is even a more uncommon subtype of IVC thrombosis and is mostly associated with IVC filters or venous catheters. We describe a 66-year-old man with persistent fever and history of pyonephrosis secondary to transurethral lithotripsy 1 month before recent admission. Computed tomography scan of the chest and abdomen revealed a filling defect in the IVC protruding into the right atrium. Transesophageal echocardiogram (TEE) revealed a large mass at the origin of the IVC entering into the right atrium, suggestive of a clot. Diagnosis of suppurative thrombophlebitis of the IVC secondary to a retroperitoneal abscess was made, and intravenous antibiotic therapy for 6 weeks without anticoagulation conferred ample thrombus resolution. Follow-up TEE in week 16 showed no residual thrombus in the IVC.

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Published
2018-07-15
How to Cite
1.
Talebi-Taher M, Naghavi B, Hajsadeghi S, Iranpour A, Pahlavani SM. Suppurative Thrombophlebitis of the Inferior Vena Cava Resolved with Intravenous Antibiotic Therapy: A Case Report. jthc. 13(3):132-5.
Section
Case Report(s)