Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report
Leiomyosarcoma (LMS) is a rare malignant tumor originating from smooth muscle cells. Primary leiomyosarcomas arising from vessels’ walls are extremely rare (2%), with LMS of inferior vena cava being the most frequent subtype. We present the case of a 45-year-old man with a past medical history of re...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008178 |
| _version_ | 1797454669349388288 |
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| author | Giulia D'Amone, MD Vincenzo Cirimele, MD Silvia Maria Rossi, MD Alessandro Ciolli, MD Maria Teresa Bitonti, MD Massimo Stiffi, MD Milena Ricci, MD Dalila Baldazzi, MD Ugo Ferrari, MD Bruno Beomonte Zobel, MD Eliodoro Faiella, MD |
| author_facet | Giulia D'Amone, MD Vincenzo Cirimele, MD Silvia Maria Rossi, MD Alessandro Ciolli, MD Maria Teresa Bitonti, MD Massimo Stiffi, MD Milena Ricci, MD Dalila Baldazzi, MD Ugo Ferrari, MD Bruno Beomonte Zobel, MD Eliodoro Faiella, MD |
| author_sort | Giulia D'Amone, MD |
| collection | DOAJ |
| description | Leiomyosarcoma (LMS) is a rare malignant tumor originating from smooth muscle cells. Primary leiomyosarcomas arising from vessels’ walls are extremely rare (2%), with LMS of inferior vena cava being the most frequent subtype. We present the case of a 45-year-old man with a past medical history of resected leiomyosarcoma of the right calf, presenting with a follow-up CT showing a retroperitoneal mass arising from the inferior vena cava, which proved to be IVC leiomyosarcoma at histopathology. The patient underwent surgical resection of the mass with prosthetic reconstruction of the IVC. Three days after surgery he developed complete thrombosis of IVC graft which persisted at 3-months follow-up imaging and was treated with pharmacological therapy. Although there are many references reporting the association between LMS of the inferior vena cava and postoperative deep vein thrombosis, to our knowledge there are no reports currently available regarding complete thrombosis of IVC vascular graft after surgical resection of IVC LMS. |
| first_indexed | 2024-03-09T15:41:24Z |
| format | Article |
| id | doaj.art-f36e5714046b4af29b3211ef2c318736 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T15:41:24Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-f36e5714046b4af29b3211ef2c3187362023-11-25T04:47:39ZengElsevierRadiology Case Reports1930-04332024-01-01191468472Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case reportGiulia D'Amone, MD0Vincenzo Cirimele, MD1Silvia Maria Rossi, MD2Alessandro Ciolli, MD3Maria Teresa Bitonti, MD4Massimo Stiffi, MD5Milena Ricci, MD6Dalila Baldazzi, MD7Ugo Ferrari, MD8Bruno Beomonte Zobel, MD9Eliodoro Faiella, MD10Unit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, Italy; Corresponding author.Department of Human Pathology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyDivision of Vascular Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyUnit of Diagnostic Imaging and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128 Roma, ItalyLeiomyosarcoma (LMS) is a rare malignant tumor originating from smooth muscle cells. Primary leiomyosarcomas arising from vessels’ walls are extremely rare (2%), with LMS of inferior vena cava being the most frequent subtype. We present the case of a 45-year-old man with a past medical history of resected leiomyosarcoma of the right calf, presenting with a follow-up CT showing a retroperitoneal mass arising from the inferior vena cava, which proved to be IVC leiomyosarcoma at histopathology. The patient underwent surgical resection of the mass with prosthetic reconstruction of the IVC. Three days after surgery he developed complete thrombosis of IVC graft which persisted at 3-months follow-up imaging and was treated with pharmacological therapy. Although there are many references reporting the association between LMS of the inferior vena cava and postoperative deep vein thrombosis, to our knowledge there are no reports currently available regarding complete thrombosis of IVC vascular graft after surgical resection of IVC LMS.http://www.sciencedirect.com/science/article/pii/S1930043323008178LeiomyosarcomaInferior vena cavaThrombosisCTImagingTreatment |
| spellingShingle | Giulia D'Amone, MD Vincenzo Cirimele, MD Silvia Maria Rossi, MD Alessandro Ciolli, MD Maria Teresa Bitonti, MD Massimo Stiffi, MD Milena Ricci, MD Dalila Baldazzi, MD Ugo Ferrari, MD Bruno Beomonte Zobel, MD Eliodoro Faiella, MD Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report Radiology Case Reports Leiomyosarcoma Inferior vena cava Thrombosis CT Imaging Treatment |
| title | Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report |
| title_full | Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report |
| title_fullStr | Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report |
| title_full_unstemmed | Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report |
| title_short | Chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma. A case report |
| title_sort | chronic graft thrombosis after en bloc resection of inferior vena cava leiomyosarcoma a case report |
| topic | Leiomyosarcoma Inferior vena cava Thrombosis CT Imaging Treatment |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008178 |
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