scholarly journals Anesthetic management of gigantic pheochromocytoma resection with inferior vena cava and right atrium tumor thrombosis: A case report

2019 ◽  
Author(s):  
Jingli Chen ◽  
Caihua Liu ◽  
Chang Liu ◽  
Quanyuan Fu ◽  
Dingwei Peng ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Surgical Resection ◽  
Right Atrium ◽  
Inferior Vena ◽  
Anesthetic Management ◽  
Vena Cava ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
The Right

Abstract Background: This report describes one case of anesthetic management about surgical resection of a malignant phaeochromocytoma with tumor extension into vena cava and right atrium in a patient. Report for anesthetic management is limited in these patients under surgical resection until now. Case presentation: In September 2015, a 24-year-old male presented to the department of cardiology with right flank pain and hypertensive urgency in our hospital. Contrast-enhanced CT abdomen and MRI abdomen revealed a mass phaeochromocytoma in right adrenal, which invaded the right inferior vena cava（IVC）wall along with IVC thrombus. Echocardiography shown no abnormal detection. Finally, this patient gave up the surgical resection of phaeochromocytoma and chose the expectant treatment. In April 2018, this patient once again presented to the emergence department in our hospital, he had experienced persistent cough and intermittent wheezing for 5 hour. Contrast-enhanced CT and echocardiography shown existing IVC thrombus had extended into the right atrium. After the careful preoperative preparation, adrenalectomy with complete thrombus excision by inferior vena cava exploration and right atriotomy were performed successfully by a multidisciplinary team. After one month post-operation care, this patient healthily left our hospital. Conclusion: To the best of our knowledge, the occurrence of pheochromocytoma with IVC and right atrium thrombosis has not been reported in mainland China so far. This clinical case may supply a rare reference experience for surgical treatment and anesthetic management in the group of phaeochromocytoma patient with distance vascular extension.

scholarly journals Anesthetic management of gigantic pheochromocytoma resection with inferior vena cava and right atrium tumor thrombosis: A case report

2019 ◽  
Author(s):  
Jingli Chen ◽  
Caihua Liu ◽  
Chang Liu ◽  
Quanyuan Fu ◽  
Dingwei Peng ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Surgical Resection ◽  
Right Atrium ◽  
Inferior Vena ◽  
Anesthetic Management ◽  
Vena Cava ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
The Right

Abstract Background: This report describes one case of anesthetic management about surgical resection of a malignant phaeochromocytoma with tumor extension into vena cava and right atrium in a patient. Report for anesthetic management is limited in these patients under surgical resection until now. Case presentation: In September 2015, a 24-year-old male presented to the department of cardiology with right flank pain and hypertensive urgency in our hospital. Contrast-enhanced CT abdomen and MRI abdomen revealed right adrenal mass suspicious of malignancy with invasion and compression to the right IVC wall along with IVC thrombus extending from the level of renal veins to the level of confluence with hepatic veins. Echocardiography shown no abnormal detection. Finally, this patient gave up the surgical resection of phaeochromocytoma and chose the expectant treatment. In April 2018, this patient once again presented to the emergence department with a persistent cough and intermittent wheezing character for 5 hour. Contrast-enhanced CT and echocardiography shown existing IVC thrombus had extended into the right atrium. After the careful preoperative preparation, adrenalectomy with complete thrombus excision by inferior vena cava exploration and right atriotomy were performed successfully by a multidisciplinary team. After one month post-operation care, the patient healthily leave our hospital. Conclusion: To the best of our knowledge, the occurrence of pheochromocytoma in IVC and right atrium thrombosis has not been reported so far from mainland China. This clinical case may supply a rare reference experience for surgical treatment and anesthetic management in the group of phaeochromocytoma patient with distance vascular extension. Keywords: Adrenal tumor; Malignant phaeochromocytoma; Inferior vena cava; Right atrium; Tumor thrombus.

Hepatic haemangioma causing isolated right-sided pleural effusion and bilateral pedal oedema

2022 ◽  
Vol 15 (1) ◽  
pp. e245374
Author(s):  
Oseen Hajilal Shaikh ◽  
Uday Shamrao Kumbhar ◽  
Chilaka Suresh ◽  
Balasubramanian Gopal
Keyword(s):  
Pleural Effusion ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Contrast Enhanced Ct ◽  
Pedal Oedema ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Hepatic Haemangioma ◽  
Common Benign Tumour

Hepatic haemangioma (HH) is a common benign tumour of the liver and is usually asymptomatic. HH causing isolated right-sided pleural effusion and bilateral pedal oedema due to inferior vena cava (IVC) compression have never been reported in the literature. We report a 35-year-old male patient who presented with breathlessness and mass per abdomen. On examination, the patient was found to have right-sided pleural effusion, bilateral pedal oedema, hepatomegaly. Contrast-enhanced CT showed compression of the IVC by the HH. The patient was managed with right-sided intercostal drain insertion for pleural effusion and hepatic artery embolisation. The patient improved gradually with reduced pleural effusion and resolving pedal oedema.

Clinical Relevance of Retrograde Inferior Vena Cava or Hepatic Vein Opacification During Contrast-Enhanced CT

2004 ◽  
Vol 183 (5) ◽  
pp. 1227-1232 ◽  
Author(s):  
Benjamin M. Yeh ◽  
Philip Kurzman ◽  
Elyse Foster ◽  
Aliya Qayyum ◽  
Bonnie Joe ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Clinical Relevance ◽  
Inferior Vena ◽  
Vena Cava ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct

scholarly journals ‘IVC contrast level: a sign of cardiovascular dysfunction’

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Mansi Verma ◽  
Vikas Bhatia ◽  
Lokesh Singh ◽  
Uma Debi ◽  
Manavjit Sandhu
Keyword(s):  
Cardiac Arrest ◽  
Inferior Vena Cava ◽  
Cardiogenic Shock ◽  
Inferior Vena ◽  
Vena Cava ◽  
Contrast Level ◽  
Dismal Prognosis ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct

Abstract Contrast blood level in intrahepatic inferior vena cava (IVC) on arterial contrast-enhanced CT images is referred to as IVC layering or IVC contrast level sign. This sign is important to recognize as it has dismal prognosis and requires immediate attention. The causes described in literature include cardiogenic shock, cardiac arrest and cardiac tamponade. We hereby present three cases depicting IVC contrast level sign.

scholarly journals Advanced Hepatocellular Carcinoma with Subtotal Occlusion of the Inferior Vena Cava and a Right Atrial Mass

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Christian Steinberg ◽  
Suzanne Boudreau ◽  
Felix Leveille ◽  
Marc Lamothe ◽  
Patrick Chagnon ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Inferior Vena Cava ◽  
Right Atrium ◽  
Inferior Vena ◽  
Vena Cava ◽  
Great Majority ◽  
Right Atrial ◽  
Advanced Hepatocellular Carcinoma ◽  
Regional Lymph Nodes ◽  
The Right

Hepatocellular carcinoma usually metastasizes to regional lymph nodes, lung, and bones but can rarely invade the inferior vena cava with intravascular extension to the right atrium. We present the case of a 75-year-old man who was admitted for generalized oedema and was found to have advanced HCC with invasion of the inferior vena cava and endovascular extension to the right atrium. In contrast to the great majority of hepatocellular carcinoma, which usually develops on the basis of liver cirrhosis due to identifiable risk factors, none of those factors were present in our patient.

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