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[Massive obstruction of venous return due to a primary inferior vena cava tumour]
[Massive obstruction of venous return due to a primary inferior vena cava tumour]
- Source :
- Cirugia espanola. 91(3)
- Publication Year :
- 2012
-
Abstract
- A 62-year-old patient was studied after an episode of fainting with oppressive pain that appeared and recurred during exercise. Abdominal-pelvic CT revealed a heterogeneous retroperitoneal mass from the infrarenal distal third of the inferior vena cava (IVC) with calcifications that was highly vascularized, partially extraand endoluminal, with cranial extension up to the right auricle, that was implanted in the septum and up to the tricuspid valve to the RV (Figs. 1 and 2). Given the obstruction of the IVC and the existence of collateral venous return, and considering the differential diagnosis between leiomyosarcoma and angiosarcoma with associated thrombosis, surgery was performed and the IVC was resected in 2 stages using laparotomy and sternotomy. Final pathology diagnosis: high-grade leiomyosarcoma. c i r e s p . 2 0 1 3 ; 9 1 ( 3 ) : e 1 7
- Subjects :
- Leiomyosarcoma
Male
medicine.medical_specialty
medicine.medical_treatment
Vena Cava, Inferior
Inferior vena cava
Severity of Illness Index
Laparotomy
medicine
Humans
Angiosarcoma
Tricuspid valve
business.industry
General Engineering
Middle Aged
medicine.disease
Thrombosis
Vascular Neoplasms
medicine.anatomical_structure
medicine.vein
cardiovascular system
Radiology
Differential diagnosis
business
Venous return curve
Subjects
Details
- ISSN :
- 1578147X
- Volume :
- 91
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Cirugia espanola
- Accession number :
- edsair.doi.dedup.....9714dcde1ba750f4a23af569f5e519c4