scholarly journals Complications of X-ray endovascular treatment of the May–Thurner syndrome

2019 ◽  
Vol 20 (3) ◽  
pp. 93-100
Author(s):  
O. B. Zhukov ◽  
B. G. Alekyan ◽  
A. E. Vasiliev

The article describes a clinical case of treatment of complications of the May–Thurner syndrome. Asymmetry of blood flow in the iliac veins and signs of their narrowing were observed. Phlebography showed special characteristics of pelvic vessels, trajectory of the surgery was planned. Stenting of the left iliac vein is considered the optimal treatment for such patients if the pressure in it is above 5 mmHg compared to the inferior vena cava. Specialized venous self-expanding stents are an efficient choice for stenting. Access can be performed through the popliteal vein on the unilateral side and / or the femoral or humeral artery, jugular or subclavian access can be used depending on the patient’s anatomy and the size of the delivery device. The female patient underwent coil embolization of varicocele of the lower pelvic veins. At repeat examination after 3 months, pelvic pain was minimal, no pain during sex, no varicocele in the groin and lower extremities. Contrastenhanced spiral computed tomography with 3D reconstruction of the pelvic veins didn’t show any signs of pelvic congestion syndrome.

1977 ◽  
Vol 16 (02) ◽  
pp. 71-75 ◽  
Author(s):  
D. Costa ◽  
H. P. Ramanathan ◽  
S. Merchant

SummaryRadionuclide inferior vena cavagrams were done in 135 patients who had hepatomegaly, splenomegaly or a mass in the vicinity of the inferior vena cava (I. V. C.). 2-5mCi 99mTc phytate, 99mTc S colloid, 99mTc O4 -, 99mTc-LIDA, 99mTc pyridoxyledene glutamate or 113min colloid were injected directly and rapidly into either a malleolar or a femoral vein while the patient lay supine under the 13.5 detector head of a scinticamera. Rapid sequential scintiphotos were manually taken at approximately 1 sec. interval for 20-30 sec. Thus iliac vein, I. V. C., cardiopulmonary zone in infants, aorta and the arterial phase were visualized.48 % of these subjets had an abnormal I . V . C . and the depictions were interestingly varied, indicating that different patients responded in a different manner even to grossly similar pathologies. It became evident that this soft walled vessel could be compressed by both fluids and neoplastic tissue (Fig. 1,2); the long I. V. C. channel could also be segmentally pushed away by a mass in its vicinity. (Fig. 2, 3, 4). An abnormal arterial flush usually differentiated between benign (Fig. 2) and malignant (Fig. 3) lesions, even when the mass was extra-hepatic (Fig. 4) and retroperitoneal (Fig. 5).Such a systematic study of I. V. C. had not been possible earlier since the classical x-ray contrast inferior vena cavagram necessitates venous dissection, passage of a catheter, and the injection of large volume of fluid under an unphysiologically high pressure. The simplified radionuclide technique, however, permitted the study of neonates and critically ill subjects with massive ascites, while retaining a satisfactory reproducability (Fig. 6).


2007 ◽  
Vol 15 (5) ◽  
pp. e60-e62 ◽  
Author(s):  
El Hassane Kabiri ◽  
Abdelfettah Zidane ◽  
Fouad Atoini ◽  
Adil Arsalane ◽  
Hicham Bellamari

Hydatid cystic disease is still a health problem in Morocco. Mediastinal localization is very rare. We report the case of a 24-year-old man who presented with right chest pain and dyspnea. Chest X-Ray and computed tomography showed a mediastinal mass. The diagnosis was confirmed perioperatively by macroscopic and histologic investigations. Resection of the cyst was performed, and a small part intimately adherent to the inferior vena cava and oesophagus was left in place. There were no complications or recurrence.


1992 ◽  
Vol 14 (3) ◽  
pp. 265-269 ◽  
Author(s):  
Ph Bonnichon ◽  
F Gaudard ◽  
B Lecam ◽  
J Shilder ◽  
D Pariente ◽  
...  

2020 ◽  
Vol 19 (5) ◽  
pp. 147-149
Author(s):  
O.V. Papysheva ◽  
◽  
A.E. Voynovskiy ◽  
A.I. Davydov ◽  
M.B. Tairova ◽  
...  

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


2020 ◽  
Vol 66 ◽  
pp. 668.e1-668.e3
Author(s):  
Haocheng Ma ◽  
Qingle Li ◽  
Changshun He ◽  
Shuwei Zhang ◽  
Tao Zhang ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 232-233
Author(s):  
Drew Long ◽  
Brit Long

Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC). Discussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.


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