Primary adrenal leiomyosarcoma: clinical case and literature review

Adrenal leiomyosarcoma — rare mesenchymal tumor, which is diagnosed most often after it reaches a large size. Primary adrenal leiomyosarcoma is extremely rare: in the English-language literature, only 45 cases were previously reported. We report the case of a 46-year-old man with the formation of the right adrenal gland measuring 12x8x7,5 cm. The patient underwent right-sided adrenalectomy, nephrectomy, and plastic of the inferior vena cava. The phenotype was confirmed by light microscopy and immunohistochemistry. Microscopic examination of the tumor is represented by fusiform and polymorphic cells that form multidirectional bundle structures with a high rate of mitosis. Immunohistochemically, tumor cells were positive for smooth muscle actin, CD-34, CD-117.

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Postpartum ovarian vein thrombosis

Voprosy ginekologii akušerstva i perinatologii ◽

10.20953/1726-1678-2020-5-147-149 ◽

2020 ◽

Vol 19 (5) ◽

pp. 147-149

Author(s):

O.V. Papysheva ◽

◽

A.E. Voynovskiy ◽

A.I. Davydov ◽

M.B. Tairova ◽

...

Keyword(s):

Postpartum Period ◽

Clinical Case ◽

Inferior Vena ◽

Vena Cava ◽

Ovarian Vein ◽

Large Fragment ◽

Renal Veins ◽

Vein Thrombosis ◽

The Right ◽

Ovarian Vein Thrombosis

A clinical case of thrombosis of the right ovarian vein in the postpartum period - an extremely rare pathology in which acute appendicitis is often suspected due to the identity of the symptoms of the diseases. Performed laparoscopy, during which a large fragment of a thrombosed vein was excised. Conclusion. Extensive right ovarian vein thrombosis with a normal hemostasiogram could not only not be resolved by anticoagulants, but also potentially spread to the renal veins and inferior vena cava, increasing the risk of pulmonary embolism. Key words: vein dissection, laparoscopy, postpartum period, ovarian vein thrombosis

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Renal Cancer with Tumor Thrombus of the Inferior Vena Cava and the Right Atrium

Vestnik of Experimental and Clinical Surgery ◽

10.18499/2070-478x-2020-13-3-214-226 ◽

2020 ◽

Vol 13 (3) ◽

pp. 214-226

Author(s):

Yulia Aleksandrovna Stepanova ◽

Aleksandr Anatolevich Gritskevch ◽

Amiran Shotaevich Revishvili ◽

Madina Valerevna Kadirova ◽

Egor Sergeyevich Malyshenko ◽

...

Keyword(s):

Surgical Treatment ◽

Inferior Vena Cava ◽

Kidney Cancer ◽

Right Atrium ◽

Tumor Thrombus ◽

Clinical Case ◽

Inferior Vena ◽

Vena Cava ◽

Radical Treatment ◽

The Right

ntroduction. A distinctive feature of kidney cancer is a frequent, compared with other tumors, spread of the tumor through the venous collectors (in the renal and inferior vena cava up to the right atrium), along the path of least resistance to invasive growth.The aim of the study was to present a clinical case of radical treatment of kidney cancer involving extensive IVC thrombosis.Materials and methods. The study describes a clinical case of radical treatment of patient M. with kidney cancer involving extensive IVC thrombosis, extending to the right atrium (written informed consent for patient information and images to be published was obtained prior to the study). During preoperative examination, the patient was diagnosed with renal cell carcinoma with non-occlusive hypervascular tumor thrombus of the renal vein, the inferior vena cava and the right atrium based on the findings of ultrasound examination (transabdominal and transthoracic, and transesophageal), multislice computed tomography (MSCT) and magnetic resonance imaging (MRI).Results and discussion. Surgical treatment remains the main method of treatment of renal cell cancer, moreover, the inferior vena cava thrombosis cannot serve as a cause for refusing surgical treatment. The thrombus spreading along the venous collectors is an important factor in determining the tactics of surgical treatment. The length of the tumor thrombus, as well as the degree of its fixation and ingrowth into the vein wall is of great significance for planning surgical techniques and predicting clinical outcomes. Based on various methods of radiological examination, patient M. was diagnosed with cancer of the right kidney, 3 stage T3cNxM0, IVC tumor thrombus, paraneoplastic syndrome (hyperthermia), right-sided nephrectomy with aortocaval lymphadenectomy, thrombectomy from the IVC, vascular isolation of the liver, resection of the IVC, thrombectomy from the right atrium combined with cardiopulmonary bypass.Conclusion. Despite the technical complexity of nephrectomy with thrombectomy from the IVC, especially in the presence of a massive supradiaphragmatic thrombus, these interventions have no alternatives if a radical treatment is to be achieved. Step-by-step support using radiological methods of investigation is an important aspect of patients preparation; this allowing determining the exact volume of the damage and non-invasively assessing clinical outcomes of surgical treatment.

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THE MIGRATION OF VENA CAVA FILTER TO THE RIGHT ATRIUM - A CLINICAL CASE

EurasianUnionScientists ◽

10.31618/esu.2413-9335.2021.1.88.1411 ◽

2021 ◽

pp. 14-15

Author(s):

V. Voskanyan

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena Cava Filter ◽

Clinical Case ◽

Inferior Vena ◽

Vena Cava ◽

Vena Cava Filter ◽

Right Atrial ◽

Ivc Filter ◽

Different Types ◽

The Right

The implantation of a removable inferior vena cava (IVC) filter serves as an effective "bridge" to anticoagulant therapy. However, different types of recoverable inferior vena cava filter failures have been reported. Most of these failures were associated with endovascular treatment, device problems, filter hook intimal migration, filter disintegration, filter-related thrombosis, and right atrial / ventricular migration.

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Best Practices in Diagnostic Immunohistochemistry: Pleomorphic Cutaneous Spindle Cell Tumors

Archives of Pathology & Laboratory Medicine ◽

10.5858/2007-131-1517-bpidip ◽

2007 ◽

Vol 131 (10) ◽

pp. 1517-1524 ◽

Cited By ~ 1

Author(s):

Andrew L. Folpe ◽

Kumarasen Cooper

Keyword(s):

Differential Diagnosis ◽

Best Practices ◽

English Language ◽

Spindle Cell ◽

Smooth Muscle Actin ◽

S100 Protein ◽

Muscle Actin ◽

Spindle Cell Tumors ◽

Immunohistochemical Studies ◽

Language Literature

Abstract Context.—Pleomorphic cutaneous spindle cell tumors can be difficult to distinguish solely on histologic grounds. The use of ancillary immunohistochemical studies can greatly assist in this differential diagnosis. Objective.—To review histologic and immunohistochemical aspects of cutaneous spindle cell tumors and discuss a basic panel of markers to assist in the differential diagnosis. Data Sources.—English-language literature published between 1981 and 2005. Conclusions.—A basic immunohistochemistry panel for high-molecular-weight cytokeratin, melanocytic markers (S100 protein, HMB-45, Melan-A), smooth muscle actin, desmin, and endothelial markers (CD31, CD34) is effective in diagnosing most cutaneous spindle cell tumors.

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Leiomyosarcoma of the Inferior Venacava: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.4455 ◽

2019 ◽

Vol 57 (217) ◽

Author(s):

Diksha Karki ◽

Paricha Upadhayaya ◽

Purbesh Adhikari ◽

Mona Dahal ◽

Bishow Prakash Jung Thapa ◽

...

Keyword(s):

Case Report ◽

Inferior Vena ◽

Histopathological Examination ◽

Primary Repair ◽

Smooth Muscle Actin ◽

Vena Cava ◽

Muscle Layer ◽

Rare Tumor ◽

Muscle Actin ◽

Specific Symptoms

Leiomyosarcoma of inferior venacava is a rare tumor. Female are most commonly affected and middlesegment of inferior vena cava is the commonest site. The diagnosis can sometimes be challengingas patients present with non-specific symptoms. We present a case of a 65-year-old female whopresented with pain in hypochondrium and epigastric region since 4 months along with weightloss, anorexia and vomiting. Histopathological examination revealed a capsulated, multilobatedtumor arising from muscle layer of inferior venacava with extraluminal growth pattern and tumorcells showing cytoplasmic positivity for immuno-histochemical stain smooth muscle actin. Withthe diagnosis of leiomyosarcoma of inferior venacava, excision of tumor was done with tangentialexcision of 4 cm length of inferior venacava with primary repair.

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Oncocytic Lipoadenoma: Report of 3 Rare Cases Involving the Parotid Gland, Including a Synchronous Presentation With Paraganglioma of the Right Carotid Bifurcation and Literature Review

International Journal of Surgical Pathology ◽

10.1177/10668969211021966 ◽

2021 ◽

pp. 106689692110219

Author(s):

John L.S. Cunha ◽

Marco A. Peñalonzo ◽

Ciro D. Soares ◽

Bruno A.B. de Andrade ◽

Mário J. Romañach ◽

...

Keyword(s):

English Language ◽

Smooth Muscle Actin ◽

Salivary Gland Tumor ◽

Surgical Excision ◽

Carotid Bifurcation ◽

Alpha Smooth Muscle Actin ◽

S 100 ◽

The Right ◽

Adequate Management ◽

Adipose Cells

Oncocytic lipoadenoma (OL) is a rare salivary gland tumor characterized by the presence of oncocytic cells and mature adipose tissue. To date, only 30 cases of OL have been reported in the English-language literature. We present 3 additional OL cases involving the parotid, including a synchronous presentation with paraganglioma of the right carotid bifurcation. Microscopically, both the OLs were composed of a mixed population of oncocytes and adipocytes in varying proportions surrounded by a thin, connective tissue fibrous capsule. Oncocytes were positive for pan-cytokeratins (CKs) AE1/AE3, epithelial membrane antigen, CK5, CK7, CK14, CK18, and CK19. Calponin, p63, alpha-smooth muscle actin, and carcinoembryonic antigen were negative. Vimentin and S-100 protein were positive only in adipose cells. Despite distinctive morphologic features, OL is often misdiagnosed, given its rarity. We hope to contribute to surgeons’ and pathologists’ awareness and knowledge regarding the existence of this tumor and provide adequate management through conservative surgical excision.

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Emphysematous pyelonephritis with air bubble in the inferior vena cava

African Journal of Urology ◽

10.1186/s12301-020-00081-2 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

Tiffany A. Perkins ◽

Alberic Rogman ◽

Murali K. Ankem

Keyword(s):

Septic Shock ◽

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Rare Presentation ◽

Emphysematous Pyelonephritis ◽

Case Presentation ◽

Air Bubble ◽

First Case ◽

The Right

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.

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Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

Vascular and Endovascular Surgery ◽

10.1177/15385744211002026 ◽

2021 ◽

pp. 153857442110020

Author(s):

Reza Talaie ◽

Hamed Jalaeian ◽

Nassir Rostambeigi ◽

Anthony Spano ◽

Jafar Golzarian

Keyword(s):

Inferior Vena Cava ◽

Transjugular Intrahepatic Portosystemic Shunt ◽

Inferior Vena ◽

Vena Cava ◽

Portosystemic Shunt ◽

Hepatic Veins ◽

Budd Chiari Syndrome ◽

Chiari Syndrome ◽

Intrahepatic Portosystemic Shunt ◽

The Right

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

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Stent Graft Placement in the Top-Down Direction for Treating Traumatic Intra-Abdominal Suprahepatic Inferior Vena Cava Rupture: A Case Report

Journal of Endovascular Therapy ◽

10.1177/15266028211025024 ◽

2021 ◽

pp. 152660282110250

Author(s):

Yun Chul Park ◽

Hyoung Ook Kim ◽

Nam Yeol Yim ◽

Byung Chan Lee ◽

Chan Park ◽

...

Keyword(s):

Case Report ◽

Inferior Vena Cava ◽

Stent Graft ◽

Inferior Vena ◽

Vena Cava ◽

Endovascular Management ◽

Top Down ◽

Life Threatening ◽

The Right ◽

Suprahepatic Inferior Vena Cava

Purpose The treatment of suprahepatic inferior vena cava (IVC) ruptures results in high mortality rates due to difficulty in performing the surgical procedure. Here, we present a case of successful endovascular management of a life-threatening suprahepatic IVC rupture with top-down placement of a stent graft. Case Report A 33-year-old woman was involved in a traffic accident and presented to our emergency department due to unstable hemodynamics after blunt abdominal wall trauma. Computed tomography (CT) revealed massive extravasation of contrast agent from the suprahepatic IVC, which suggested traumatic suprahepatic IVC rupture. To seal the IVC, to salvage major hepatic veins, and to prevent migration of the stent graft into the right side of the heart after placement, an aortic cuff with a proximal hook was introduced in a top-down direction via the right internal jugular vein. After closure of the injured IVC, the patient’s hemodynamics improved, and additional laparotomy was performed. After 3 months of trauma care, the patient recovered and was discharged. Follow-up CT after 58 months showed a patent stent graft within the IVC. Conclusion Endovascular management with top-down placement of a stent graft is a viable option for emergent damage control in patients with life-threatening hemorrhage from IVC rupture.

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