EURORAD ESR

Case 2007

An usual cause of deep vein thrombosis

Author(s)
J. D. Birchall, S. Dawson, R. W. Kerslake, C. N. Ludman
 
Patient
female, 29 year(s)
 
 
  • Figure 1
    Right lower limb venogram

    Occlusion of the right common iliac vein at the IVC with extensive venous collaterals.

     
    Area of Interest: unknown; Imaging Technique: Right lower limb venogram;
     
     
  • Figure 2
    CT of the abdomen post IV and PO contrast
     

    Distended IVC containing peripherally enhancing thrombus.

     
    Area of Interest: unknown; Imaging Technique: CT of the abdomen post IV and PO contrast;

    Enhancing lobulated sacral tumour with fluid levels compressing the sacral spinal canal and extending into the right greater sciatic notch.

     
    Area of Interest: unknown; Imaging Technique: CT of the abdomen post IV and PO contrast;
     
     
  • Figure 3
    T1- and T2-weighted sagittal and STIR axial MR images
     

    Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.

     
    Area of Interest: unknown; Imaging Technique: T1- and T2-weighted sagittal and STIR axial MR images;

    Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.

     
    Area of Interest: unknown; Imaging Technique: T1- and T2-weighted sagittal and STIR axial MR images;

    Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.

     
    Area of Interest: unknown; Imaging Technique: T1- and T2-weighted sagittal and STIR axial MR images;
     
     
  • Figure 4
    MRA post Gd-DTPA administration (2mmols/kg))
     

    Arterial phase: Enhancement of the right sided sacral mass and IVC thrombus.

     
    Area of Interest: unknown; Imaging Technique: MRA post Gd-DTPA administration (2mmols/kg));

    Venous phase: IVC thrombus is demonstrated with extensive venous collaterals particularly on the right.

     
    Area of Interest: unknown; Imaging Technique: MRA post Gd-DTPA administration (2mmols/kg));
     
     
  • Figure 5
    CT thorax
     

    Multiple small pulmonary nodules.

     
    Area of Interest: unknown; Imaging Technique: CT thorax;

    Multiple small pulmonary nodules.

     
    Area of Interest: unknown; Imaging Technique: CT thorax;
     
     
  • Figure 6
    IVC flush prior to insertion of Gunter Tulip IVC filter

    Infrarenal IVC thrombus occluding the right common iliac vein insertion. Extensive left iliolumbar and lumbar venous collaterals. Left duplex pelvicalyceal system.

     
    Area of Interest: unknown; Imaging Technique: IVC flush prior to insertion of Gunter Tulip IVC filter;
     
     
Occlusion of the right common iliac vein at the IVC with extensive venous collaterals.
 
Distended IVC containing peripherally enhancing thrombus.
 
Enhancing lobulated sacral tumour with fluid levels compressing the sacral spinal canal and extending into the right greater sciatic notch.
 
Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.
 
Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.
 
Fluid levels demonstrated in the large sacral mass with loss of the sacral canal.
 
Arterial phase: Enhancement of the right sided sacral mass and IVC thrombus.
 
Venous phase: IVC thrombus is demonstrated with extensive venous collaterals particularly on the right.
 
Multiple small pulmonary nodules.
 
Multiple small pulmonary nodules.
 
Infrarenal IVC thrombus occluding the right common iliac vein insertion. Extensive left iliolumbar and lumbar venous collaterals. Left duplex pelvicalyceal system.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version