Sunday, 1 December 2013

CASE 223: BIG IVC, Dr PHAN THANH HẢI- Dr NGUYỄN KIM THÁI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


MAN  33 yo  PECTUS EXCAVATUM,  ONSET OF  EPIGASTRIC PAIN  WITH  RADIATION  TO BACK  DORSAL SPINE.


ULTRASOUND OF ABDOMEN  DETECTED  BIG IVC  WITH  SIZE  OF =2.4-2.7cm,  ECHOGENIC  BLOOD FLOW.



 
SPECTRUM DOPPLER OF IVC SHOWED TRIPHASIC PATTERN WITH PV  11.2cm/s.



TEE 3D  CARDIAC  REPORT WAS NORMAL.




WHAT IS  CAUSE  OF BIG  IVC ?

MSCT of abdomen showed that IVC  is dilated in  going to heart,  diameter of 2.9-3.3 cm.

What is your suggestion ?.

REFERENCE  IN INTERNET OF  THE CASE ABOUT PECTUS EXCAVATUM AND IVC IS SAME AS  THIS CASE,  SUGGESTED  IVC  DILATED  DUE TO  PE (PECTUS EXCAVATUM).


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