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Inferior vena caval thrombosis following severe liver trauma and perihepatic packing—early detection by intraoperative ultrasonography enabling treatment by percutaneous mechanical thrombectomy

¹ Department of Surgery, University of Edinburgh, The Royal Infirmary, Lauriston Place, Edinburgh EH3 9YW, UK ² Departments of Radiology, University of Edinburgh, The Royal Infirmary, Lauriston Place, Edinburgh EH3 9YW, UK

Patients with severe liver trauma present a major challenge in management. We report the successful treatment of a patient presenting with a severe liver injury. The detection of major inferior vena caval thrombosis by intraoperative ultrasonography enabled the use of a percutaneous thrombectomy device to facilitate dissolution of the thrombus.

Received for publication September 5, 1994. Revision received October 21, 1994. Accepted for publication November 2, 1994.

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