CASE REPORT   

Acta Phlebologica 2018 December;19(3):118-22

DOI: 10.23736/S1593-232X.18.00413-7

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Kidney and inferior vena cava abnormalities with leg thrombosis syndrome in a 22-year-old

Vincenzo ARDITA ¹ ✉, Vincenzo PAPPALARDO ², Salvatore LUCA ³, Andrea LIDESTRI ³, Angelo BARRESI ³

¹ Department of Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milan, Italy; ² Department of Surgery, University of Insubria, Varese, Italy; ³ Department of Vascular Surgery, R. Guzzardi di Vittoria Hospital, Ragusa, Italy

Kidney and inferior vena cava (IVC) abnormalities in patients with leg thrombosis is an uncommon syndrome. We herein describe a case involving a 22-year-old man who presented with a history of fatigue and swelling of both legs. His IVC was not detected during duplex ultrasound examination. A computed tomography scan showed IVC hypoplasia and absence of the left kidney. He was discharged with oral anticoagulant therapy and stocking leg support. After 6 months, the swelling had decreased in both legs, and recanalization of the femoral veins was evident on duplex ultrasound examination. Close medical management is mandatory during follow-up of such patients. Lifelong anticoagulant therapy appears to be indicated in these uncommon cases.

KEY WORDS: Inferior vena cava - Abnormalities - Thrombosis