# Inferior Vena Cava Tumor Thrombus in the Emergency Department: A Case Report

**Authors:** Victor Cisneros, Leila Danishgar, Nisan Verma, Ami Kurzweil

PMC · DOI: 10.5811/cpcem.38065 · Clinical Practice and Cases in Emergency Medicine · 2025-03-20

## TL;DR

A 76-year-old man presented with volume overload symptoms, leading to the discovery of an IVC tumor thrombus in the emergency department.

## Contribution

Highlights the importance of point-of-care ultrasound in diagnosing IVC tumor thrombus in emergency settings.

## Key findings

- IVC tumor thrombus can present with volume overload symptoms.
- Point-of-care ultrasound aids in early detection of IVC thrombus.
- Differentiating tumor thrombus from bland thrombus is critical for management.

## Abstract

The inferior vena cava (IVC) drains a significant portion of the lower body. Pathologies associated with the IVC can present significant diagnostic and therapeutic challenges. We present a case of IVC tumor thrombus in the emergency department.

A 76-year-old male with symptoms of volume overload was evaluated, leading to the diagnosis of IVC mass likely from tumor thrombus.

Patients with volume overload should be evaluated for both heart failure and presence of a potential thrombus. Point-of-care ultrasound and other imaging modalities play crucial roles in early diagnosis. Prompt identification and differentiation between bland and tumor thrombi are vital for appropriate management, potentially improving patient outcomes.

## Full-text entities

- **Diseases:** heart failure (MESH:D006333), tumor thrombi (MESH:D009369), thrombus (MESH:D013927), IVC mass (MESH:C563013), volume overload (MESH:D019190)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC12097269/full.md

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Source: https://tomesphere.com/paper/PMC12097269