Severe lumbar pain in an adolescent due to idiopathic vena cava thrombosis: a case report

Anthony Gevers; Patricia Dessart; Jean-Marie Vanmarsenille; Bruno Vande Berg; Halil Yildiz; Samar M Hatem

doi:10.1186/s13256-023-03866-5

Severe lumbar pain in an adolescent due to idiopathic vena cava thrombosis: a case report

Anthony Gevers, Patricia Dessart, Jean-Marie Vanmarsenille, Bruno Vande Berg, Halil Yildiz, Samar M Hatem

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Abstract

BACKGROUND: Lumbar back pain in an adolescent is generally musculoskeletal, that is, due to a muscle strain or scoliosis. This case describes a young individual without any previous health issues who rapidly developed a life-threatening condition, though initially presenting with "only" back pain.

CASE PRESENTATION: A 16-year-old Caucasian male patient was admitted twice to the emergency department with debilitating lumbar pain without neurological or vascular symptoms. Imagery showed an extensive thrombosis of the inferior vena cava. No external cause, structural abnormality, or any systemic disease were found that predisposed the patient to this highly unusual vaso-occlusive incident.

CONCLUSION: Thrombosis of the inferior vena cava is a rare but life-threatening entity. It is underrecognized and associated with serious short- and long-term morbidity and mortality. Increased awareness is essential because deep vein thrombosis in children seems to cause atypical symptoms, such as spinal pain or the absence of edema of the lower limbs, as in the present case.

Original language	English
Article number	193
Number of pages	4
Journal	Journal of Medical Case Reports
Volume	17
Issue number	1
DOIs	https://doi.org/10.1186/s13256-023-03866-5
Publication status	Published - 12 May 2023

Keywords

Child
Humans
Male
Adolescent
Venous Thrombosis/complications
Low Back Pain/etiology
Vena Cava, Inferior/diagnostic imaging
Back Pain/etiology

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96527320Final published version, 974 KBLicence: CC BY

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abstract = "BACKGROUND: Lumbar back pain in an adolescent is generally musculoskeletal, that is, due to a muscle strain or scoliosis. This case describes a young individual without any previous health issues who rapidly developed a life-threatening condition, though initially presenting with {"}only{"} back pain.CASE PRESENTATION: A 16-year-old Caucasian male patient was admitted twice to the emergency department with debilitating lumbar pain without neurological or vascular symptoms. Imagery showed an extensive thrombosis of the inferior vena cava. No external cause, structural abnormality, or any systemic disease were found that predisposed the patient to this highly unusual vaso-occlusive incident.CONCLUSION: Thrombosis of the inferior vena cava is a rare but life-threatening entity. It is underrecognized and associated with serious short- and long-term morbidity and mortality. Increased awareness is essential because deep vein thrombosis in children seems to cause atypical symptoms, such as spinal pain or the absence of edema of the lower limbs, as in the present case.",

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AU - Dessart, Patricia

AU - Vanmarsenille, Jean-Marie

AU - Vande Berg, Bruno

AU - Yildiz, Halil

AU - Hatem, Samar M

PY - 2023/5/12

Y1 - 2023/5/12

N2 - BACKGROUND: Lumbar back pain in an adolescent is generally musculoskeletal, that is, due to a muscle strain or scoliosis. This case describes a young individual without any previous health issues who rapidly developed a life-threatening condition, though initially presenting with "only" back pain.CASE PRESENTATION: A 16-year-old Caucasian male patient was admitted twice to the emergency department with debilitating lumbar pain without neurological or vascular symptoms. Imagery showed an extensive thrombosis of the inferior vena cava. No external cause, structural abnormality, or any systemic disease were found that predisposed the patient to this highly unusual vaso-occlusive incident.CONCLUSION: Thrombosis of the inferior vena cava is a rare but life-threatening entity. It is underrecognized and associated with serious short- and long-term morbidity and mortality. Increased awareness is essential because deep vein thrombosis in children seems to cause atypical symptoms, such as spinal pain or the absence of edema of the lower limbs, as in the present case.

AB - BACKGROUND: Lumbar back pain in an adolescent is generally musculoskeletal, that is, due to a muscle strain or scoliosis. This case describes a young individual without any previous health issues who rapidly developed a life-threatening condition, though initially presenting with "only" back pain.CASE PRESENTATION: A 16-year-old Caucasian male patient was admitted twice to the emergency department with debilitating lumbar pain without neurological or vascular symptoms. Imagery showed an extensive thrombosis of the inferior vena cava. No external cause, structural abnormality, or any systemic disease were found that predisposed the patient to this highly unusual vaso-occlusive incident.CONCLUSION: Thrombosis of the inferior vena cava is a rare but life-threatening entity. It is underrecognized and associated with serious short- and long-term morbidity and mortality. Increased awareness is essential because deep vein thrombosis in children seems to cause atypical symptoms, such as spinal pain or the absence of edema of the lower limbs, as in the present case.

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KW - Back Pain/etiology

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Severe lumbar pain in an adolescent due to idiopathic vena cava thrombosis: a case report

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