Abstract
The absence of the inferior cava vein is a rare condition, usually discovered by chance. It is described in the current literature as a rare risk factor for DVT. The presence of renal and ICV abnormalities on imaging studies along with lower extremity thrombosis is collectively known as Kilt síndrome (although renal abnormalities are not exclusive of Kilt syndrome). We present a case of Kilt syndrome, diagnosed for the first time at 32 years of age, in the context of pain intensity 10/10 in the left lower limb associated with edema and asymmetry.
References
Onbaş O, Kantarci M, Koplay M, Olgun H, Alper F, Aydinli B, Zirek H, Ceviz N. Congenital anomalies of the aorta and vena cava: 16-detector-row CT imaging findings. Diagn Interv Radiol. 2008 Sep;14(3):163-71.
Li SJ, Lee J, Hall J, Sutherland TR. The inferior vena cava: anatomical variants and acquired pathologies. Insights Imaging. 2021 Aug 30;12(1):123. doi: 10.1186/s13244-021-01066-7.
Droog W, van Beek AJ, Kooijman R. An extraordinary cause for deep venous thrombosis. BMJ Case Rep. 2011 Feb 9;2011:bcr0120102695. doi: 10.1136/bcr.01.2010.2695.
Bami S, Vazquez Y, Chorny V, Goldfisher R, Amodio J. Deep Venous Thrombosis of the Leg, Associated with Agenesis of the Infrarenal Inferior Vena Cava and Hypoplastic Left Kidney (KILT Syndrome) in a 14-Year-Old Child. Case Rep Pediatr. 2015;2015:864047. doi:
1155/2015/864047.
Bassa BA, Ryan D, Reid E, Bolster F, Breslin T. A rare case of KILT syndrome in Ireland: A case report. Thrombosis Update. 2023;10:100131. doi.org/10.1016/j.tru.2023.100131. (https://www.sciencedirect.com/science/article/pii/S2666572723000020)
Castro FJ, Pérez C, Narváez FJ, Gacía A, Biosca M, Vilaseca J, Vives J, Argiles JM. Agenesia de vena cava inferior como factor de riesgo de tromboembolismo pulmonar [Congenital absence of the inferior vena cava as a risk factor for pulmonar thromboembolism]. An Med Interna. 2003 Jun;20(6):304-6.
All material published in the journal HEMATOLOGÍA (electronic and print version) is transferred to the Argentinean Society of Hematology. In accordance with the copyright Act (Act 11 723), a copyright transfer form will be sent to the authors of approved works, which has to be signed by all the authors before its publication. Authors should keep a copy of the original since the journal is not responsible for damages or losses of the material that was submitted. Authors should send an electronic version to the email: revista@sah.org.ar