Neoplastic thrombosis in the inferior vena cava

Case contributed by Dr Teresa Fontanilla


Presents with right flank pain and faintness.

Patient Data

Age: 25
Gender: Female

There is floating, non-adherent tumor thrombus within the inferior vena cava. The patient had a right renal mass with right renal vein involvement.

Longitudinal contrast-enhanced CT image (corticomedullary phase) shows thrombus inside IVC

Case Discussion

When a renal mass is found, excluding renal vein and IVC involvement is mandatory and may be performed by means of US, CT and MR. Differentiation between bland or tumour thrombus requires contrast to demonstrate thrombus enhancement. In this case the patient attended our institution with right flank pain due to previously unknown renal tumor with active bleeding, and an emergency US was performed, with CEUS performed on the go to demonstrate thrombus enhancement.

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Case information

rID: 30840
Published: 7th Sep 2014
Last edited: 9th Jan 2016
System: Urogenital
Tag: ceus
Inclusion in quiz mode: Included

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