Inferior Vena Cava Obstruction
Authors: MORRIS E. MISSAL
Journal: Annals of Internal Medicine (1965)

Review1 January 1965Inferior Vena Cava ObstructionClinical Manifestations, Diagnostic Methods, and Related ProblemsMORRIS E. MISSAL, M.D., F.A.C.P., JAMES A. ROBINSON, M.D., RONALD W. TATUM, M.D.MORRIS E. MISSAL, M.D., F.A.C.P.Search for more papers by this author, JAMES A. ROBINSON, M.D.Search for more papers by this author, RONALD W. TATUM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-1-133 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe syndrome of inferior vena caval obstruction may present with unusual and varied pathological conditions: The syndrome may resemble or be associated with such conditions as congestive heart failure, cirrhosis of the liver, intra-abdominal malignancy, or renal disease, including the nephrotic syndrome. It must be considered in the differential diagnosis of ascites, hepatosplenomegaly, generalized amyloidosis, collagen disorders, and malabsorption syndrome as well as many other seemingly unrelated disorders. Pulmonary embolism should alert one to its possible presence.Although familiar to physicians since the nineteenth century and well-described by William Osler (1) in 1879, the diagnosis of inferior vena caval obstruction...References1. OSLER WO: Case of obliteration of vena cava inferior with great stenosis of orifices of hepatic veins. J. Anat. Physiol. 13: 291, 1879. MedlineGoogle Scholar2. PLEASANTS JH: Obstruction of the inferior vena cava with a report of 18 cases. Johns Hopkins Hosp. Rep. 16: 363, 1911. Google Scholar3. EDWARDS EA: Functional anatomy of the porta-systemic communications. Arch. Intern. Med. (Chicago) 88: 137, 1951. CrossrefGoogle Scholar4. EDWARDS EA: The anatomy of collateral circulation. Surg. Gynec. Obstet. 107: 183, 1958. MedlineGoogle Scholar5. 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Author, Article, and Disclosure InformationAffiliations: Rochester, New YorkFrom the Department of Medicine, University of Rochester School of Medicine and Dentistry, and the Medical Service of the Strong Memorial Hospital, Rochester, N. Y.Presented in part at the Regional Meeting of the American College of Physicians, Toronto, Ontario, Canada, on November 2, 1962.Requests for reprints should be addressed to Morris E. Missal, M.D., 28 Strathallan Park, Rochester, N. Y. 14607. 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THOMPSON, M.D., LEON A. PHILLIPS, M.D., KENNETH L. MELMON, M.D. 1 January 1965Volume 62, Issue 1Page: 133-161KeywordsDentistryHeart failureHepatosplenomegalyHospital medicineInferior vena cavaLesionsLiverMedical servicesPulmonary embolismRenal diseases Issue Published: 1 January 1965 PDF downloadLoading ...