• Am J Emerg Med · Sep 2017

    Case Reports

    Spontaneous rupture of inferior vena cava.

    • Hyoung In Choi, Yeo Koon Kim, Sang Il Choi, and Kyuseok Kim.
    • Department of Radiology, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
    • Am J Emerg Med. 2017 Sep 1; 35 (9): 1383.e3-1383.e4.

    AbstractSpontaneous ruptures of the inferior vena cava (IVC) are rare. The mortality rate is high associated with all IVC injuries despite prompt resuscitation or operation. We present a case of 68-year-old women with spontaneous IVC dissection, presented as acute chest pain. Chest CT demonstrated a large amount of hemopericardium, and dilated inferior vena cava (IVC), suggesting cardiac tampon. Subsequently, hypovolemic shock and cardiac arrest occurred. After resuscitation, abdomen CT angiography was taken to find bleeding focus. Second CT demonstrated massive contrast extravasation to pericardial space due to rupture of IVC. Patient expired due to multi-organ failure.Copyright © 2017 Elsevier Inc. All rights reserved.

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