Acute pancreatitis complicated by massive inferior vena cava and right atrial thrombosis: a case report

Ann Vasc Surg. 2015 Jul;29(5):1020.e7-1020.e10. doi: 10.1016/j.avsg.2015.01.019. Epub 2015 Mar 9.

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.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures / methods*
  • Fatal Outcome
  • Heart Atria*
  • Heart Diseases / diagnosis
  • Heart Diseases / etiology*
  • Heart Diseases / surgery
  • Humans
  • Male
  • Middle Aged
  • Pancreatitis, Acute Necrotizing / complications*
  • Pancreatitis, Acute Necrotizing / diagnosis
  • Thrombosis / diagnosis
  • Thrombosis / etiology*
  • Tomography, X-Ray Computed
  • Vena Cava, Inferior*