Hemodynamic Instability Secondary to Inferior Vena Cava Compression: A Rare Complication of Massive Walled-off Pancreatic Necrosis

Tanvi Goyal; Toseef Javaid; Anirudh Goyal; Zubair Khan

doi:10.14309/crj.0000000000000269

Hemodynamic Instability Secondary to Inferior Vena Cava Compression: A Rare Complication of Massive Walled-off Pancreatic Necrosis

ACG Case Rep J. 2019 Oct 24;6(10):e00269. doi: 10.14309/crj.0000000000000269. eCollection 2019 Oct.

Authors

Tanvi Goyal¹, Toseef Javaid², Anirudh Goyal³, Zubair Khan¹

Affiliations

¹ Department of Internal Medicine, University of Toledo College of Medicine, Toledo, OH.
² Department of Gastroenterology, University of Toledo College of Medicine, Toledo, OH.
³ Department of Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ.

Abstract

Necrosis developing 4 weeks after the initial acute pancreatitis attack is known as walled-off pancreatic necrosis (WOPN). Complications of WOPN include spontaneous rupture into the peritoneal cavity or hollow viscus obstruction by compression of surrounding structures, including the colon, stomach, duodenum, and common bile duct. There have also been cases of pseudocyst rupture into blood vessels. This case report is unique in that it highlights a patient with inferior vena cava compression leading to hemodynamic instability due to the mass effect of WOPN and has not been previously reported.

Publication types

Case Reports