Type:
Educational Exhibit
Keywords:
Embolism / Thrombosis, Filter insertions, CT, Veins / Vena cava, Vascular, Interventional vascular, Haemorrhage
Authors:
M. Vasquez Rios1, J. Hancock2, A. Edwards2; 1Plymouth/UK, 2Truro/UK
DOI:
10.26044/ecr2019/C-1981
Background
Retroperitoneal haemorrhage (RPH) is a well known condition which can be fatal,
it has a veriety of aetiologies including trauma,
intervention,
tumour/malignancies,
coagulopathies.
When no clear aetiology is seen is can be termed spontaneous retroperitoneal haemorrhage (SRH).
Concomitant (SRH) and ileo-femoral DVT is an uncommon phenomenon,
it is recognised as occurring synchronously,
but the pathophysiology is not well understood.
Few case reports have been published of limited quality.
At Royal Cornwall Hospital in the UK,
we have recognised three cases in the last 3 years.
It is a difficult to diagnose clinically and ileo-femoral DVTs are easily missed on CT.
Management is complicated,
as the clinician needs to balance the risk of a fatal pulmonary embolus or a life threatening bleed.