Zeitschrift für klinische Fallberichte

Acute Ilio-Femoral Thrombosis in a Patient with Chronic Infra-renal Inferior Vena Cava Occlusion Treated with Mechanical Thrombectomy Using a Rotational Catheter

Abstract

Andrea Mangiameli, Simone Vagnarelli and Cesare Ambrogi

Case Report: A 28-year-old man complained acute low-back pain three-day post-appendectomy. Computed tomography revealed thrombosis of both iliac veins and ascending lumbar vein in a patient with chronic occlusion of infra-renal inferior vein cava. Consequent lumbar and intraspinal epidural venous engorgements caused nerve root and thecal sac compression that simulated a spinal stenosis. Complete symptoms resolution was achieved after thrombectomy using a rotational catheter.