UMEM Educational Pearls

Category: Vascular

Title: IVC thrombosis

Keywords: Inferior Vena Cava, Physical Examination, Thrombosis (PubMed Search)

Posted: 2/5/2008 by Rob Rogers, MD (Updated: 2/18/2020)
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Physical Examination finding in inferior vena cava thrombosis

Consider IVC thrombosis if you ever see vertically oriented, dilated abdominal wall veins, or dilated veins on the back. As opposed to abdominal wall veins that radiate out from the umbilicus in patients with cirrhosis-known as caput medusae.

Etiologies include hepatic tumors abutting the IVC, renal cell tumors, open abdominal surgery, catheter related, IVC filter-related.