Inferior vena caval and right atrial thrombosis

Case contributed by Dr J. Ray Ballinger


Presents with shortness of breath for one week. Known retroperitoneal sarcoma.

Patient Data

Age: 60 years
Gender: Female

Contrast enhanced CT images at the level of the diaphram and above show a filling defect in the inferior vena cava and right atrium of the heart.

Case Discussion

Thrombophlebitis is a common complication among patients with malignancies due to altered coagulation. About 5-15% of patients with lower extremity thrombophlebitis develop IVC thrombosis as well. Limited information and follow up of this case prevents us from distinguishing between thrombosis of the IVC with extension into the right atrium and tumour extension into the IVC. Common tumours that extend into the IVC include renal cell carcinoma, adrenal neuroblastoma, Wilms tumour, and sarcomas which may arise directly from the wall of the IVC e.g. leiomyosarcoma.

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Case information

rID: 23640
Published: 30th Jun 2013
Last edited: 28th Mar 2018
System: Vascular
Inclusion in quiz mode: Included

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