EURORAD ESR

Case 8938

Woman with epigastric pain and abdominal distension (ECR 2010 Case of the day)

Author(s)
Ros Mendoza LH1, Ibánez Muñoz D2, Riaguas Almenara A2, Sarría Octavio de Toledo L2, Alconchel Lagranja A2, Martínez Mombila E2, Ferrer Lahuerta E1.
1) Department of Radiology, General Hospital Royo Villanova; 2) University Hospital Miguel Servet, Zaragoza, Spain.
 
Patient
female, 61 year(s)
 
 
  • Figure 1
    Ultrasonographic study axial section

    Ultrasonographic study axial section, which shows increase of the diameter of the inferior vena cava, with the lumen occupied by a motley and heterogeneous mass.

     
    Area of Interest: Veins / Vena cava;
     
     
  • Figure 2
    Ultrasonographic study sagittal section

    Ultrasonographic study sagittal section, which shows increase of the diameter of the inferior vena cava, with the lumen occupied by a motley and heterogeneous mass.

     
    Area of Interest: Veins / Vena cava;
     
     
  • Figure 3
    CT after intravenous contrast administration

    CT after intravenous contrast administration, parenchymatous phase, which allows the identification of a heterogeneous and hypodense mass within the lumen of the inferior vena cava. There is also a slight quantity of...

     
    Area of Interest: Abdomen;
     
     
  • Figure 4
    CT after intravenous contrast administration

    CT after intravenous contrast administration. There is also occupation of the right renal vein, suggestive of infiltration of this structure.

     
    Area of Interest: Abdomen;
     
     
  • Figure 5
    Coronal CT reconstruction

    Coronal CT reconstruction, which shows the bulky tumor inside the inferior vena cava, protruding into the right auricle. It is not possible to identify the ending of the suprahepatic veins.

     
    Area of Interest: Abdomen;
     
     
  • Figure 6
    Sagittal CT reconstruction

    Sagittal CT reconstruction, which shows the bulky tumor inside the inferior vena cava, protruding into the right auricle. It is not possible to identify the ending of the suprahepatic veins.

     
    Area of Interest: Abdomen;
     
     
  • Figure 7
    Ultrasonographic study, axial section

    Ultrasonographic study, axial section, before and after intravenous contrast administration, at the anatomic level of the suprahepatic veins. These vascular structures are not identified.

     
    Area of Interest: Abdomen;
     
     
Ultrasonographic study axial section, which shows increase of the diameter of the inferior vena cava, with the lumen occupied by a motley and heterogeneous mass.
 
Ultrasonographic study sagittal section, which shows increase of the diameter of the inferior vena cava, with the lumen occupied by a motley and heterogeneous mass.
 
CT after intravenous contrast administration, parenchymatous phase, which allows the identification of a heterogeneous and hypodense mass within the lumen of the inferior vena cava. There is also a slight quantity of intraperitoneal free fluid.
 
CT after intravenous contrast administration. There is also occupation of the right renal vein, suggestive of infiltration of this structure.
 
Coronal CT reconstruction, which shows the bulky tumor inside the inferior vena cava, protruding into the right auricle. It is not possible to identify the ending of the suprahepatic veins.
 
Sagittal CT reconstruction, which shows the bulky tumor inside the inferior vena cava, protruding into the right auricle. It is not possible to identify the ending of the suprahepatic veins.
 
Ultrasonographic study, axial section, before and after intravenous contrast administration, at the anatomic level of the suprahepatic veins. These vascular structures are not identified.
 
 
 
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