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Inicio Cirugía Española (English Edition) Massive Obstruction of Venous Return Due to a Primary Inferior Vena Cava Tumour
Información de la revista
Vol. 91. Núm. 3.
Páginas e17 (marzo 2013)
Vol. 91. Núm. 3.
Páginas e17 (marzo 2013)
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Massive Obstruction of Venous Return Due to a Primary Inferior Vena Cava Tumour
Obstrucción masiva del retorno venoso por tumor primario de la vena cava inferior
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M. Eugenia Gómez Garcíaa,
Autor para correspondencia
mar_eugg@hotmail.com

Corresponding author.
, Fernando Carbonell Castellóa, Rafael García Espinosaa, Belén Viñals Larrugab
a Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario La Ribera, Alzira, Valencia, Spain
b Servicio de Cirugía Cardíaca, Hospital Universitario La Ribera, Alzira, Valencia, Spain
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A 62-year-old patient was studied after an episode of fainting with oppressive pain that appeared and recurred during exercise.

Abdominal-pelvic CT revealed a heterogeneous retroperitoneal mass from the infrarenal distal third of the inferior vena cava (IVC) with calcifications that was highly vascularized, partially extra- and endoluminal, with cranial extension up to the right auricle, that was implanted in the septum and up to the tricuspid valve to the RV (Figs. 1 and 2).

Fig. 1
(0.07MB).
Fig. 2
(0.08MB).

Given the obstruction of the IVC and the existence of collateral venous return, and considering the differential diagnosis between leiomyosarcoma and angiosarcoma with associated thrombosis, surgery was performed and the IVC was resected in 2 stages using laparotomy and sternotomy.

Final pathology diagnosis: high-grade leiomyosarcoma.

Please cite this article as: Gómez García ME, et al. Obstrucción masiva del retorno venoso por tumor primario de la vena cava inferior. Cir Esp. 2013; 91: e17.

Copyright © 2012. AEC
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