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Bilateral Lower Limb Swelling

Bilateral Lower Limb Swelling

  • 60-year-old patient presented with complaint of bilateral lower limb swelling.
  • Figure 1. Short echo time image shows mass in IVC as isointense and thrombus in IVC as hyperintense.
  • Figure 2. Short echo time image shows mass in IVC as isointense and thrombus in IVC as hyperintense.
  • Figure 3. Contrast image shows nonenhancing thrombus in iliac veins.
  • Figure 4. Contrast image shows nonenhancing thrombus in iliac veins.
  • Figure 5. T2W image shows mass in IVC.
  • Figure 6. T2W image shows mass in IVC.
  • Figure 7. T1W image shows mass in IVC.
  • Figure 8. Dual fast field echo T1/short T2 shows thrombus in IVC.
  • Diagnosis: Leiomyosarcoma of the inferior vena cava
  • Leiomyosarcoma of IVC is a rare entity with fewer than 300 cases in reported in literature.
  • Leimyosarcoma can cause IVC obstruction with lower limb swelling or hepatic vein obstruction (Budd-Chiari syndrome).

Case History: 60-year-old patient presented with complaint of bilateral lower limb swelling.

Comments

I have seen a case with tumor thrombus in the IVC that was a sarcoma originating from the IVC. There was some associated linear calcification.

rob @

THROMBOSSIS

moneim @

Acute thrombosis IVC and bilateral iliac veins.

Kenneth @

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