Spontaneous violation of the integrity of the inferior vena cava wall



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Abstract

The current literature data on an extremely rare and severe pathology - a spontaneous violation of the inferior vena cava wall’s integrity with the formation of a retroperitoneal hematoma - are summarized. The data of our own experience of treating three patients with this pathology are presented. One of them was operated on with subsequent death. The rest were treated conservatively; the outcome was favorable. The individual probable causes of the development of spontaneous large retroperitoneal venous hematoma and the features of the right choice of treatment tactics were analyzed. The value of correctly selected anticoagulant therapy in the treatment of such patients is shown. It is concluded that surgical interventions for spontaneous violation of the inferior vena cava’s integrity can be undertaken only for health reasons if the refusal of the operation will inevitably lead to an unfavorable outcome.

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About the authors

A. V Esipov

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

O. V Pinchuk

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: oleg_pinchuk@mail.ru
Krasnogorsk, Moscow region, Russia

A. V Obraztsov

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

V. V Yamenskov

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

K. B Grigor’ev

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

A. A Rakov

The 3rd A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

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