Tumoral thrombosis of inferior vena cava and iliac veins resulting in unilateral lower limb edema in a young adult: A rare presentation of skeletal Ewing's sarcoma

2011 ◽  
Vol 79 (2) ◽  
pp. e41-e44
Author(s):  
Praveen Kumar ◽  
Bhoopendra P. Singh ◽  
Shailendra Mohan Shukla ◽  
Lubna Khan ◽  
Ojaswi Pathak
2009 ◽  
Vol 43 (4) ◽  
pp. 403-405
Author(s):  
Asif Mahmood ◽  
Morgan Cleasby ◽  
Stephan G. Hübscher ◽  
Harmeet S. Khaira

2021 ◽  
Vol 54 (3) ◽  
pp. 217-227
Author(s):  
Masahito Ogiku ◽  
Yoshiro Nishiwaki ◽  
Toru Takagi ◽  
Shinichiro Miyazaki ◽  
Takashi Harada ◽  
...  

2013 ◽  
Vol 98 (3) ◽  
pp. 229-233 ◽  
Author(s):  
Sami Akbulut ◽  
Mehmet Yilmaz ◽  
Aysegul Kahraman ◽  
Sezai Yilmaz

Abstract Hemangiomas are the most common benign primary tumors of the liver and their prevalence ranges from 0.4% to 20%. Approximately 85% of hemangiomas are clinically asymptomatic and are incidentally detected in imaging studies performed for other causes. In a very small minority of patients, nausea, vomiting, abdominal pain, distension, palpable mass, obstructive jaundice, bleeding, and signs and symptoms of Budd-Chiari syndrome may develop due to compression of bile duct, hepatic vein, portal vein, and adjacent organs. Occasionally, external compression of inferior vena cava may lead to edema and/or indirect symptoms such as deep vein thrombosis of the lower limbs. In this report, we present a case of giant hepatic hemangioma that completely filled the right lobe of the liver. The patient presented with bilateral lower limb edema and pain. A computed tomography scan detected a 9 × 11 × 12 cm mass indicative of a hemangioma in the right lobe of the liver that compressed the inferior vena cava. The patient refused treatment initially but returned 6 months later presenting with the same symptoms. At that time, the mass had increased in size and a hepatectomy was performed, preserving the middle hepatic vein. By postoperative month 13, the swelling in the lower extremities had decreased significantly and the inferior vena cava appeared normal.


2011 ◽  
Vol 75 (06) ◽  
pp. 560-564 ◽  
Author(s):  
D. Rizzo ◽  
G. Barone ◽  
A. Ruggiero ◽  
P. Maurizi ◽  
I.F. Furfaro ◽  
...  

1988 ◽  
Vol 9 (2) ◽  
pp. 127-129 ◽  
Author(s):  
Jens Peter Sturmberg ◽  
Hans Meyer ◽  
Reiner Körfer ◽  
Wolfgang Matthies ◽  
Wolf-Rüdiger Thies ◽  
...  

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.


Author(s):  
Osmanuddin Ahmed

Chronic deep venous thrombosis (DVT) is defined by thrombus persisting beyond 28 days of initial onset and represents a condition that leads to long-standing venous hypertension, valvular incompetence, and ultimately chronic venous insufficiency and occlusion. As chronic thrombus organizes, it contracts and becomes adherent to the vein wall, causing scarring and consequent atresia of the lumen. The sequelae of such disease are manifested by limb edema, pain, discoloration, exercise intolerance, and ulceration—all encompassed within a clinical spectrum known as post-thrombotic syndrome. Attempts at recanalization with venoplasty and stenting of chronic inferior vena cava (IVC) and iliac occlusions are performed to restore the main venous outflow of the extremities to reverse or arrest the morbidity associated with this disease. This chapter discusses the interventional management of chronic iliocaval thrombosis.


2014 ◽  
Vol 7 ◽  
pp. CCRep.S15302 ◽  
Author(s):  
Ankur Jain

We report a case of a 60-year-old lady who presented with bilateral lower limb swelling and a thyroid swelling with clinical features consistent with thyrotoxicosis. Investigations revealed the presence of a thrombus in bilateral external, internal iliac veins, and inferior vena cava extending up to its infrahepatic part. Hormone profile and radioiodine uptake scan confirmed the diagnosis of Graves' disease. Further workup revealed the presence of antiphospholipid antibodies (confirmed after a repeat test at 12 weeks). The patient was treated with antithyroid drugs and anticoagulants. The patient improved with normalization of thyroid function and partial recanalization of the infrahepatic part of inferior vena cava. Hyperthyroidism has been implicated as a potential hypercoagulable state; however, the association of Graves' disease with antiphospholipid antibody syndrome is limited to isolated case reports. This case highlights a new mechanism underlying hypercoagulability associated with Graves' disease.


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