Inferior vena cava syndrome
Diagnosis
Edema of the lower extremities (peripheral edema), caused by an increase in the venous blood pressure. Tachycardia. This is caused by the decreased preload, decreased cardiac output, and leads to increased frequency. In pregnant women, signs of fetal hypoxia and distress may be seen in the cardiotocography. This is caused by decreased perfusion of the uterus, resulting in hypoxemia of the fetus. Supine hypotensive syndrome Obstruction by deep vein thrombosis or tumors (most commonly renal cell carcinoma) Compression through external pressure by neighbouring structures or tumors, either by significantly compressing the vein or by promoting thrombosis by causing turbulence by disturbing the blood flow. This is quite common during the third trimester of pregnancy when the uterus compresses the vein in the right side position. Iatrogenic causes may be suspected in patients with a medical history of liver transplantion, vascular catheters, dialysis and other invasive procedures in the vicinity Budd-Chiari syndrome The diagnosis can be made clinically by observing the patient when in the right sided position where you can see multiple dilated veins over abdomen due to collaterals. Ultrasound with Doppler flow measurement may be used to assess the IVC and circulatory system.
Inferior vena cava syndrome-3