EURORAD ESR

Case 15150

Endovenous heat-induced thrombosis following saphenous laser ablation

Author(s)
Tonolini Massimo, MD.

"Luigi Sacco" University Hospital, Radiology Department; Via G.B. Grassi 74 20157 Milan, Italy; Email:mtonolini@sirm.org
 
Patient
female, 55 year(s)
 
 
  • Figure 1
    Initial contrast-enhanced multidetector CT
     

    Oblique (a) and coronal (b) images showed extensive luminal non-opacification (arrowheads) consistent with left-sided femoral venous thrombosis, with mildly dilated veins and positive vessel wall enhancement

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Oblique (a) and coronal (b) images showed extensive luminal non-opacification (arrowheads) consistent with left-sided femoral venous thrombosis, with mildly dilated veins and positive vessel wall enhancement

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior hypogastric and obturator veins. Note on-uniform vessel dilatation and vessel wall...

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior hypogastric and obturator veins. Note on-uniform vessel dilatation and vessel wall...

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior epigastric and obturator veins. Note on-uniform vessel dilatation and vessel wall...

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Early follow-up contrast-enhanced multidetector CT (a week after Fig.1)
     

    Repeated CT showed increased caliber and luminal attenuation from persistent thrombosis at proximal femoral vein and obturator veins with disappeared mural enhancement (arrowheads). Note displaced urinary bladder.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Repeated CT showed increased caliber and luminal attenuation from persistent thrombosis at proximal femoral vein and obturator veins with disappeared mural enhancement (arrowheads). Note displaced urinary bladder.

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Distant follow-up contrast-enhanced multidetector CT (3 months)
     

    Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Oblique (a) and coronal (b) images showed extensive luminal non-opacification (arrowheads) consistent with left-sided femoral venous thrombosis, with mildly dilated veins and positive vessel wall enhancement
 
Oblique (a) and coronal (b) images showed extensive luminal non-opacification (arrowheads) consistent with left-sided femoral venous thrombosis, with mildly dilated veins and positive vessel wall enhancement
 
Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior hypogastric and obturator veins. Note on-uniform vessel dilatation and vessel wall contrast enhancement.
 
Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior hypogastric and obturator veins. Note on-uniform vessel dilatation and vessel wall contrast enhancement.
 
Sagittal (c) and axial (d,e) images shows intra-pelvic extension of thrombosis, (arrowheads) that involved the ipsilateral inferior epigastric and obturator veins. Note on-uniform vessel dilatation and vessel wall contrast enhancement.
 
Repeated CT showed increased caliber and luminal attenuation from persistent thrombosis at proximal femoral vein and obturator veins with disappeared mural enhancement (arrowheads). Note displaced urinary bladder.
 
Repeated CT showed increased caliber and luminal attenuation from persistent thrombosis at proximal femoral vein and obturator veins with disappeared mural enhancement (arrowheads). Note displaced urinary bladder.
 
Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).
 
Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).
 
Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).
 
Distant follow-up showed recanalisation of left femoral vein (arrows), partial persistence of chronic obturator vein thrombosis (arrowheads in b, c), normally patent inferior vena cava (+ in d).
 
 
 
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