Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature
Intravascular fasciitis (IVF) is a very rare disease that is difficult to diagnose preoperatively. Frequently, it can be misdiagnosed as a malignancy or deep vein thrombosis. A 26-year-old man presented with a 6-month history of intermittent cramping pain in the right calf. Duplex ultrasonography, c...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medrang
2021-03-01
|
| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200079 |
| _version_ | 1818562058190323712 |
|---|---|
| author | Hyo Kee Kim Ahram Han Sanghyun Ahn Sangil Min Jongwon Ha Seung-Kee Min |
| author_facet | Hyo Kee Kim Ahram Han Sanghyun Ahn Sangil Min Jongwon Ha Seung-Kee Min |
| author_sort | Hyo Kee Kim |
| collection | DOAJ |
| description | Intravascular fasciitis (IVF) is a very rare disease that is difficult to diagnose preoperatively. Frequently, it can be misdiagnosed as a malignancy or deep vein thrombosis. A 26-year-old man presented with a 6-month history of intermittent cramping pain in the right calf. Duplex ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography were performed in various hospitals. The work-up revealed a hypermetabolic mass in the femoral vein, suggestive of a malignancy, such as leiomyosarcoma. The tumor was located inside the femoral vein with no invasion, and the mass was resected en bloc with the vein wall. Intraoperative frozen section biopsy revealed no malignancy, and the final pathological diagnosis was IVF. Herein, we report a case of IVF and discuss the role of imaging studies in its preoperative diagnosis, with an extensive literature review. |
| first_indexed | 2024-12-14T00:58:44Z |
| format | Article |
| id | doaj.art-017826256a7247aea7e7e109af7ce39c |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-14T00:58:44Z |
| publishDate | 2021-03-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-017826256a7247aea7e7e109af7ce39c2022-12-21T23:23:22ZengMedrangVascular Specialist International2288-79702021-03-01371505710.5758/vsi.200079vsi.200079Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of LiteratureHyo Kee Kim0Ahram Han1Sanghyun Ahn2Sangil Min3Jongwon Ha4Seung-Kee Min5Department of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, KoreaIntravascular fasciitis (IVF) is a very rare disease that is difficult to diagnose preoperatively. Frequently, it can be misdiagnosed as a malignancy or deep vein thrombosis. A 26-year-old man presented with a 6-month history of intermittent cramping pain in the right calf. Duplex ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography were performed in various hospitals. The work-up revealed a hypermetabolic mass in the femoral vein, suggestive of a malignancy, such as leiomyosarcoma. The tumor was located inside the femoral vein with no invasion, and the mass was resected en bloc with the vein wall. Intraoperative frozen section biopsy revealed no malignancy, and the final pathological diagnosis was IVF. Herein, we report a case of IVF and discuss the role of imaging studies in its preoperative diagnosis, with an extensive literature review.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200079intravascular fasciitisfemoral veinpositron emission tomographycomputed tomographymagnetic resonance imaging |
| spellingShingle | Hyo Kee Kim Ahram Han Sanghyun Ahn Sangil Min Jongwon Ha Seung-Kee Min Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature Vascular Specialist International intravascular fasciitis femoral vein positron emission tomography computed tomography magnetic resonance imaging |
| title | Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature |
| title_full | Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature |
| title_fullStr | Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature |
| title_full_unstemmed | Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature |
| title_short | Intravascular Fasciitis in the Femoral Vein with Hypermetabolic Signals Mimicking a Sarcoma: The Role of Preoperative Imaging Studies with Review of Literature |
| title_sort | intravascular fasciitis in the femoral vein with hypermetabolic signals mimicking a sarcoma the role of preoperative imaging studies with review of literature |
| topic | intravascular fasciitis femoral vein positron emission tomography computed tomography magnetic resonance imaging |
| url | https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200079 |
| work_keys_str_mv | AT hyokeekim intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature AT ahramhan intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature AT sanghyunahn intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature AT sangilmin intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature AT jongwonha intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature AT seungkeemin intravascularfasciitisinthefemoralveinwithhypermetabolicsignalsmimickingasarcomatheroleofpreoperativeimagingstudieswithreviewofliterature |