Collateral circulation after resection of inferior vena cava

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Recent history of resection of leiomyosarcoma of the inferior vena cava.

Patient Data

Age: 35 years
Gender: Female

CT Abdomen and pelvis

ct

Pelvic varices bilaterally; tortuous and dilated ovarian veins, especially on the left, which communicates with perirenal and along splenic hilum varices. Subcutaneous abdominal wall varicosities.

Case Discussion

The patient underwent resection of leiomyosarcoma of the inferior vena cava with bilateral renal vein resection. Reconstruction of the renal veins with vascular prosthesis. There was made also a partial hepatectomy (VI segment).

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