January 2008

Abnormal aspect of the inferior vena cava

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Clinical information

Hematuria

Ultrasound Images & Clips

71 year old male, Hematuria

Longitudinal image of the inferior vena cava with soft tissue structures

Transverse image of the inferior vena cava with soft tissue structures

Longitudinal image of the right renal vein filled with soft tissue structures, slightly lateral to the inferior vena cava

Transverse image of the right renal vein and inferior vena cava with soft tissue structures

Longitudinal image of the right kidney with a large tumor mass in the lowerpole

CT scan at the level of the right reanal vein with tumor thrombus in the renal vein and the inferior vena cava

CT scan showing the large renal cell tumor Diagnosis: Renal cell carcinoma invading the renal vein and inferior vena cava Renal cell tumors in the right kidney invade the inferior vena cava through the renal vein sooner than renal cell tumors on the

Transverse image with a dilatated left renal vein filled with tumor thrombus

Color doppler showing tumor vascularization

The patient presented with a large varicocele on the left side

Conclusion

References
Schwerk WB, Schwerk WN, Rodeck G. Venous renal tumor extension: a prospective US evaluation. Radiology. 1985 Aug;156(2):491-5

Details

Sex: Male
Age: 71

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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