Dr. Anshul Varshney
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
My brother has been having these following symptoms such as rapid heart beat, severe headaches especially at nights, pain on the left side of the chest and occassional nausea. He went for a CT scan and part of the results is, ''A large filling defect is seen within the infrarenal inferior vena cava with no opacifications of the vessel. The vessel is enlarged measuring approximately 25 mm in diameter. The visualized osseous structures and lung bases are unremarkable.'' What do these results mean? Please help.
Hi,
Welcome to icliniq.com.
The findings suggestive by his CT (computed tomography) scan report goes in favor of Inferior Vena Cava (IVC) Thrombosis. Assessing the clotting and fibrinolytic systems are required. The investigations required are protein C, protein S, antithrombin III and anticardiolipin studies. The goals of treatment are to manage the primary impact of the deep vein thrombosis (DVT) and the impact of embolization. Medical management can include anticoagulation therapy and thrombolytic agents. He definitely needs further investigations and work up.
Patient's Query
Thank you doctor,
What tests do you recommend to assess the clotting and fibrinolytic systems? A local cardiologist has suggested CT Venogram. This test is expensive, so I am just wondering is it really important to take this test? Is this a common or rare condition? Is it fully treatable perhaps by medicine or surgery?
Hi,
Welcome back to icliniq.com.
Yes, CT Venogram is required for the confirmation of the diagnosis. However, it is not a highly sensitive test. The tests I have mentioned are useful to diagnose the underlying cause of thrombosis. This is very important to understand that we have to find out the cause to treat the condition. Prognosis depends on the severity of the disease.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
If I have had open heart surgery, how long should I take warfarin?
What is the treatment for mitral stenosis?
Can chest pain have other reasons than heart attack?
Please explain the presentation of DVT.
Chest pain since 15 days. ECG & TMT reports are normal. What could be the problem?
Can you suggest treatment for my elevated D-dimer levels?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
