Congenital agenesis of the inferior vena cava presenting with acute renal failure

Hanife Usta Atmaca; Feray Akbaş; Füsun Erdenen; Yeşim Karagöz; Ebru Pekgüç

doi:10.5606/tgkdc.dergisi.2014.8046

Hanife Usta Atmaca¹, Feray Akbaş¹, Füsun Erdenen¹, Yeşim Karagöz², Ebru Pekgüç¹

¹Departments of Internal Medicine İstanbul Training and Research Hospital, İstanbul, Turkey
²Departments of Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.8046

Agenesis of the inferior vena cava (IVC) is a rare congenital disorder. Herein, we present a 35-year-old male case of agenesis of the IVC and disseminated pelvic venous congestion with complete extrinsic ureteral obstruction due to compression who was admitted with acute renal failure following contrast injection for a computed tomography scan. Renal functions of the patient returned to normal after hemodialysis. However, during follow-up, malabsorption occurred due to intraabdominal congestion and collateral vein formation. Subsequently, he developed malnutrition and infection and died despite, a full supportive therapy.

Keywords : Acute renal failure; agenesis of inferior vena cava; deep vein thrombosis; magnetic resonance imaging

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