Presentation
Patient with known high-grade osteogenic sarcoma with lung metastases. She presents with dyspnoea, chest pains, desaturations (spO2:74%), and tachycardia: heart rate of 140 beats per minute.
Patient Data
The subcoastal inferior vena cava (IVC) view demonstrates an intraluminal mass within the IVC. Colour Doppler demonstrates incomplete obstruction of the IVC.
The defect extends to the iliac veins and into the right common femoral vein (not shown). Dilated right cardiac chambers, severe tricuspid regurgitation with severe pulmonary hypertension (not shown).
Case Discussion
Venous thromboembolism (VTE) is a common complication in cancer patients. Several risk factors for developing VTE, such as chemotherapy and immobilisation, coexist with cancer patients, adding to the higher chance of developing VTE in cancer patients compared to non-cancer patients 1.
The patient was put on Clexane.
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