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March 1984

Noninvasive Evaluation of the Inferior Vena Cava: The Value of Sonography

Author Affiliations

From the Department of Radiology (Dr Slovis) and the Section of Cardiology, Department of Pediatrics (Drs Clapp and Farooki), Children's Hospital of Michigan, Wayne State University, School of Medicine, Detroit.

Am J Dis Child. 1984;138(3):277-280. doi:10.1001/archpedi.1984.02140410055017

• Children who have abnormalities of the inferior vena cava (IVC) appear with diverse signs and symptoms. Those with congenital IVC malformations have symptoms related to associated cardiac disease. Those with IVC compression or obstruction may have ascites, hepatomegaly, edema of the lower extremities, and/or signs of portal hypertension. Sonography of the IVC has become a routine part of the evaluation of congenital heart disease and also part of the examination of patients with abdominal masses. Sonography should be the initial imaging modality in children at high risk for caval disorders. Previously used diagnostic procedures such as the inferior venacavogram should now be used only as a secondary investigative tool.

(AJDC 1984;138:277-280)

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