Primary tumor of inferior vena cava with infrarenal, suprarenal and suprahepatic extension.

Case Report | DOI: https://doi.org/10.31579/2640-1053/034

Primary tumor of inferior vena cava with infrarenal, suprarenal and suprahepatic extension.

  • Ana Moreno Reina 1*
  • Guillermo Núñez de Arenas Baeza 2
  • Francisco Javier Moreno Machuca 2
  • Jose Vicente González Herráez 2
  • Andrés García León 2

1 Angiology and Vascular Surgery Service, Our Lady of Valme University Hospital, University of Seville. Seville. Spain 
2 Service of Angiology and Vascular Surgery, University Hospital Nuestra Señora de Valme, Sevilla.Spaña 
3 Service of Angiology and Vascular Surgery, University Hospital Nuestra Señora de Valme, Sevilla.Spaña 
4 Service of Angiology and Vascular Surgery, University Hospital Nuestra Señora de Valme, Sevilla.Spaña 
5 Service of Angiology and Vascular Surgery, University Hospital Nuestra Señora de Valme, Sevilla.Spaña 

*Corresponding Author: Ana Moreno Reina, c/ Virgen de la Macarena 8. Dos Hermanas (Seville, Spain). CP: 41701 Phone: 645633399

Citation: Ana Moreno Reina, Guillermo Núñez de Arenas Baeza, -Francisco Javier Moreno Machuca, Jose Vicente González Herráez and Andrés García León, Primary Tumor of Inferior Vena Cava with Infrarenal, Suprarenal and Suprahepatic Extension, J. Cancer Research and Cellular Therapeutics. Doi: 10.31579/2640-1053/034

Copyright: © 2019 Ana Moreno Reina. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 28 March 2019 | Accepted: 06 April 2019 | Published: 09 April 2019

Keywords: hypertension; generalized edema; oliguria and weight gain

Abstract

The patient was a 77-year-old woman with hypertension and no other history of interest. She presented with generalized edema, oliguria and weight gain, associated with asthenia and malaise of months of evolution.

Case Presentation

The patient was a 77-year-old woman with hypertension and no other history of interest. She presented with generalized edema, oliguria and weight gain, associated with asthenia and malaise of months of evolution.
After completing the radiological study, a diagnosis of primary vena cava inferior tumor (IVC) dependent on muscular layer (compatible with leiomyosarcoma according to MRNA angiography (image 1)) was reached with infrarenal, suprarenal and suprahepatic extension, reaching the ceiling of the right atrium, with associated intraluminal thrombosis (image2), and without distant metastasis. Given the extension of the disease and complications developed during its admission (renal (acute renal failure), hepatic (acute liver failure) and cardiac (congestive heart failure in anasarca situation, atrial fibrillation) we discard the option of surgical resection, opting for treatment palliative, performing a multidisciplinary approach to the case Finally, after clinical deterioration, the patient's death occurs three weeks after admission.
Figures (1 and 2):

Figure 1

MR angiography: inferior vena cava tumor dependent on the middle layer, hyperintense lesion on T2, most likely leiomyosarcoma of Vena Cava Inferior (→)

Figure 2: CT with IV contrast: inferior vena cava tumor with associated intraluminal thrombosis, with suprahepatic, adrenal and infrarenal extension, reaching to the right atrial roof (*).

Conflict of Interest

I declare that any conflict of interest exists.

References

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