CASE 454: IVC STENOSIS, Dr PHAN THANH HẢI, Dr TRỊNH DUY TRANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 30 yo with 3 times of miscarriage, she came to MEDIC for a check- up (foto  subcutaneous veins).

Ultrasound of abdomen and pelvis:  normal uterus size.

US 1 = big liver caudate lobe 

US 2 = IVC  stenosis at  upper portion of liver
US 3 = crossed section of IVC no flow with hepatic vein.

MSCE with CE:

CT 1=  normal uterus structure.  CT2  = IVC  contrast filling  short portion cannot go upper to liver portion.  CT3 =  crossed section of  dilated subcutaneous abdominal veins. CT4 = crossed section= IVC no contrast in liver portion and abnormal late phase of liver vein, 

CT 5  = surface abdomen skin.

TREATMENT  ANGIOINTERVENTION;   DILATATION of STENOSIS AND STENTING.

Summary  =  IVC abnormal  stenosis near  diaphragm and  many venous collateral returning ways. 

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