Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 146-148

Inferior vena cava obstruction and shock


1 Department of Medicine, Marshall University, Huntington, WV, USA
2 Marshall University, 3th year Medical Student, Huntington, WV, USA
3 Department of Medicine, Marshall University, Section of Pulmonary and Critical Care, Huntington, WV, USA

Correspondence Address:
Dr. Megri Mohammed
Department of Medicine, Section of Pulmonary and Critical Care, Marshall University, Huntington, WV
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JETS.JETS_22_17

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Shock is one of the most challenging life-threatening conditions with high mortality and morbidity; the outcomes are highly dependent on the early detection and management of the condition. Septic shock is the most common type of shock in the Intensive Care Unit. While not as common as other subsets of shock, obstructive shock is a significant subtype due to well defined mechanical and pathological causes, including tension pneumothorax, massive pulmonary embolism, and cardiac tamponade. We are presenting a patient with obstructive shock due to inferior vena cava obstruction secondary to extensive deep venous thrombosis. Chance of survival from obstructive shock in our patient was small; however, there was complete and immediate recovery after treatment of the obstruction on recognizing the affected vessels. This case alerts the practicing intensivist and the emergency medicine physician to consider occlusion of the great vessels other than the pulmonary artery or aorta as causes of obstructive shock.


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