Vascular thrombosis and systemic hypercoagulable states are known complications of pancreatitits. The incidence of vascular obstruction associated with pancreatitis has been reported at 0.9%. They are thought to be secondary to release of proteolytic enzymes of the pancreas and direct vasculitis. Vessels near the head of the pancreas are more frequently involved, and arterial vessels are most commonly affected. Inferior vena cava (IVC) thrombosis however, is a very rare presentation of acute and chronic pancreatitis. Dignosis of IVC thrombosis may be far from easy; the presence of a leg edema, superficial thrombophlebitis or thromboembolic events may arouse clinical suspicion. Therefore, a high degree of suspicion for this complication is necessary in order to render a diagnosis. A case of a 24-year old man with chronic pancreatitis, who was found to have IVC and right iliac vein thrombosis, is herein report with a review of the relevant literature.
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