Acute Pancreatitis Complicated by Massive Inferior Vena Cava and Right Atrial Thrombosis: A Case Report

Venous thrombosis is a relatively common complication of acute pancreatitis. A 58-year-old man came to our emergency department with abdominal pain. Pancreatitis complicated with a huge thrombosis through inferior vena cava (IVC) to right atrium and left renal vein was diagnosed. Gabexate and enoxaparin were administered for pancreatitis and thrombosis. Surgical removal of thrombosis was considered but was not possible because of poor general condition. Despite conservative management, the patient expired. We believe this is the first case of pancreatitis complicated by right atrial thrombosis.