Abstract
We report the usefulness of a technique called direct-MDCT venography in the diagnostic workup of a patient with an inferior vena cava leiomyosarcoma. The technique consists in the injection of contrast agent through both lower limbs achieving maximum enhancement in the inferior vena cava. Images are similar to those of the gold standard conventional cavography. To our knowledge, this is the first description of the direct-MDCT imaging appearance of an inferior vena cava leiomyosarcoma.
References
Cacoub P, Piette JC, Wechsler B, et al. (1991) Leiomyosarcoma of the inferior vena cava. Experience with 7 patients and literature review. Medicine 70:293–306
Hartman DS, Hayes WS, Choyke PL, Tibbetts GP (1992) From the archives of the AFIP. Leiomyosarcoma of the retroperitoneum and inferior vena cava: radiologic-pathologic correlation. Radiographics 12:1203–1220
Sheth S, Fishman EK (2007) Imaging of the inferior vena cava with MDCT. AJR 189:1243–1251
Mingoli A, Cavallaro A, Sapienza P, et al. (1996) International registry of inferior vena cava leiomyosarcoma: analysis of a world series on 218 patients. Anticancer Res 16:3201–3205
Abisi S, Morris-Stiff GJ, Scott-Coombes D, et al. (2006) Leiomyosarcoma of the inferior vena cava: clinical experience with four cases. World J Surg Oncol 4:1
Delis S, Triantopoulou C, Bakoyiannis A, Tassopoulos N, Dervenis C (2008) Leiomyosarcoma of the infrarenal portion of the inferior vena cava in a cirrhotic patient with hepatitis C. Abdom Imaging 33:222–224
Narata M, Okuhata Y, Abe K, Takemoto A, Maebayashi T, Furuhashi S, Takahashi M (2009) Primary leiomyosarcoma of the inferior vena cava: case report. Abdom Imaging, Springerlink 1432–0509, June 26
Mahesh M (2002) Search for isotropic resolution in CT from conventional through multiple-row detector. Radiographics 22:949–962
Hara AK, Johnson CD, MacCarty RL, et al. (2001) CT colonography: single- versus multi-detector row imaging. Radiology 219:461–465
Zhang L, Yang G, Shen W, Qi J (2007) Spectrum of the inferior vena cava: MDCT findings. Abdom Imaging 32:495–503
Bonamigo TP, Becker M, Faccini FP, et al. (2003) Leiomyosarcoma of the inferior vena cava—a case report. Vasc Endovascular Surg 37:225–228
Gowda RM, Gowda MR, Mehta NJ, et al. (2004) Right atrial extension of primary venous leiomyosarcoma: pulmonary embolism and Budd-Chiari syndrome at presentation-a case report. Angiology 55:213–216
Mavili E, Ozturk M, Akcali Y, et al. (2009) Direct CT venography for evaluation of the lower extremity venous anomalies of Klippel-Trenaunay Syndrome. AJR Am J Roentgenol 192:311–316
Virmani V, Khandelwal N, Kang M, Gulati M, Chawla Y (2009) MDCT venography in the evaluation of inferior vena cava in Budd-Chiari syndrome. Indian J Gastroenterol 28:17–23
McCollough CH, Bruesewitz MR, Kofler JMJr (2006) CT dose reduction and dose management tools: overview of available options. Radiographics 26:503–512
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ulla, M., Kohan, A., Pekolj, J. et al. Direct 64-row MDCT venography in the diagnosis of an inferior vena cava leiomyosarcoma. Abdom Imaging 36, 333–336 (2011). https://doi.org/10.1007/s00261-010-9630-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-010-9630-8