Sindrom donje šuplje vene – prikaz slučaja
Sažetak
Vena cava inferior (VCI) prikuplja krv iz abdomena i donjih ekstremiteta. Penje se retroperitoneumom i ulazi u desnu pretkomoru srca. Opstrukcija VCI može biti uzrokovana trombozom vene, neoplazmom koja vrši spoljni pritisak na venu ili infiltrira venu i trudnoćom. Opstrukcija VCI uzrokuje izrazite edeme nogu, proširenje vena donjeg dela trbuha, koje služe kao kolaterali. U dijagnostici ovakvih poremećaja potrebno je sprovesti detaljne laboratorijske pretrage, ultrazvučni pregled abdomena, kompjuterizovanu tomografiju i potom kavografiju. Tako se odredjuje etiologija opstrukcije, mesto i stepen opstrukcije, uočava kolateralni krvotok pa i planira eventualna hiruška rekonstrukcija.
Reference
Balraj P, Kabbani L, Mathews J, Tinney F Jr, Schwartz S, Kwon D et al. Epithelioid Hemangioendothelioma Presenting as Inferior Vena Cava Obstruction Diag-nosed Using an Endovascular Thrombectomy Device. Ann Vasc Surg. 2017;40:294.e7-294.e9. [CrossRef] [PubMed]
Caso J, Seigne J, Back M, Spiess PE, Pow-Sang J, Sexton WJ. Circumferential resection of the inferior vena cava for primary and recurrent malignant tumors. J Urol. 2009;182(3):887-93. [CrossRef] [PubMed]
Changal KH, Altaf SS, Raina A. A man with dilated superficial abdominal veins: A clinical presentation of non-Hodgkin lymphoma. J Intern Med. 2016;7(3): 222-4. [PubMed]
Clark MR, Khaja MS, Banathy AK, Wilkins LR. Images in Vascular Medicine. Multivessel obstruction and treatment in a patient with retroperitoneal leiomyosar-coma. Vasc Med. 2020;25(3):278-80. [CrossRef] [PubMed]
Coppa J, Citterio D, Cotsoglou C, Germini A, Piccioni F, Sposito C. Transhepatic anterior approach to the inferior vena cava in large retroperitoneal tumors resected en bloc with the right liver lobe. Surgery. 2013;154(5):1061-8. [CrossRef] [PubMed]
Ferraris M, Callegaro D, Barretta F, Fiore M, Radaelli S, Stacchiotti S et al. Outcome of iliocaval resection and reconstruction for retroperitoneal sarcoma. J Vasc Surg Venous Lymphat Disord. 2019;7(4):547-56. [CrossRef] [PubMed]
Kametaka H, Makino H, Ishikawa T, Hatada K, Higashidani K, Hasegawa A. Extended resection for a huge retroperitoneal malignant paraganglioma-a case report. Gan To Kagaku Ryoho. 2013;40(12):2460-2. [PubMed]
Kapur S, Paik E, Rezaei A, Vu DN. Where there is blood, there is a way: unusual collateral vessels in superior and inferior vena cava obstruction. Radio-graphics. 2010;30(1):67-78. [CrossRef] [PubMed]
Murakami N, Arai Y, Takagawa Y, Okuma K, Takahashi K, Inaba K et al. Inferior vena cava syn-drome caused by retroperitoneal fibrosis after pelvic irradiation: A case report. J Gynecol Oncol Rep. 2018; 27:19-21. [CrossRef] [PubMed]
Nakajima S, Narita S, Sato H, Igarashi R, Nara T, Kanda S et al. Advanced Adrenocortical Carcinoma with Vena Caval Tumor Thrombus Treated with Extended Surgery and Subsequent Chemotherapy. Hinyokika Kiyo. 2019;65(10):397-402. [CrossRef] [PubMed]
Okur N, Inal M, Akgül E, Binokay F. Case report: Pedunculated leiomyosarcoma of the inferior vena cava. Tani Girisim Radyol. 2003;9(1):78-80. [PubMed]
Quinones-Baldrich W, Alktaifi A, Eilber F, Eilber F. Inferior vena cava resection and reconstruction for retroperitoneal tumor excision. Vasc Surg. 2012; 55(5):1386-93. [CrossRef] [PubMed]
Ruiz CS, Kalbaugh CA, Browder SE, McGinigle KL, Kibbe MR, Farber MA et al. Operative strategies for inferior vena cava repair in oncologic surgery. J Vasc Surg Venous Lymphat Disord 2020;8(3):396-404. [CrossRef] [PubMed]
Smillie RP, Shetty M, Boyer AC, Madrazo B, Jafri SZ. Imaging evaluation of the inferior vena cava. Radio-graphics. 2015;35(2):578-92. [CrossRef] [PubMed]
Tseng YC, Wu ST, Chao TK, Wu CJ, Chau T, Yang SS. A giant non-functional adrenocortical carcinoma pre-senting with acute kidney injury. Int Urol Nephrol. 2014;46(6):1101-5. [CrossRef] [PubMed]