Inferior vena cava syndrome caused by retroperitoneal fibrosis after pelvic irradiation: A case report

Murakami, Naoya; Takagawa, Yoshiaki; Okuma, Kae; Takahashi, Kana; Inaba, Koji; Igaki, Hiroshi; Nakayama, Yuko; Itami, Jun

doi:10.1016/j.gore.2018.12.002

Cited by 3 publications

(3 citation statements)

References 9 publications

(10 reference statements)

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“…Benign causes of IVCS are enlarged caudate lobes in patients with liver cirrhosis, giant liver and renal cysts, granulomatous diseases, Crohn's disease, aortic aneurysms, retroperitoneal hematomas, retroperitoneal fibrosis, and even blunt abdominal trauma [35][36][37][38][39].…”

Section: Etiology Anatomy and Pathophysiologymentioning

confidence: 99%

Inferior vena cava-syndrome

Klein-Weigel

Elitok

Ruttloff

et al. 2021

Vasa

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Summary: Inferior vena cava syndrome (IVCS) is caused by agenesis, compression, invasion, or thrombosis of the IVC, or may be associated with Budd-Chiari syndrome. Its incidence and prevalence are unknown. Benign IVCS is separated from malignant IVCS. Both cover a wide clinical spectrum reaching from asymptomatic to highly symptomatic cases correlated to the underlying cause, the acuity, the extent of the venous obstruction, and the recruitment and development of venous collateral circuits. Imaging is necessary to determine the underlying cause of IVCS and to guide clinical decisions. Interventional therapy has changed the therapeutic approach in symptomatic patients. This article provides an overview over IVCS and focuses on interventional therapeutic methods and results.

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Section: Etiology Anatomy and Pathophysiologymentioning

confidence: 99%

Inferior vena cava-syndrome

Klein-Weigel

Elitok

Ruttloff

et al. 2021

Vasa

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“…Some investigators consider it to be part of IgG4-Related Disease (IgG4-RD) because of its association with many auto-immune disorders (Zhang et al, 2017, Hedgire et al, 2013, Khosroshahi et al, 2013, Subramani et al, 2019. As retroperitoneal fibrosis can be secondary to chemoradiation for another malignancy, it is essential to differentiate between primary or secondary RPF (Murakami et al, 2018). The diagnosis is made on the basis of Computed Tomography (CT) or Magnetic Resonance Imaging (MRI), while Fluorodeoxyglucose Positron emission tomography ([18F] FDG PET) is a useful tool in disease staging and follow-up (Vaglio & Moriatati, 2016;Carmel et al, 2008, Caiafa et al, 2013.…”

Section: Introductionmentioning

confidence: 99%

Surviving Complications of Retroperitoneal Fibrosis with Intermittent Relapses over a Period of 20 years: Case report and literature Review

Dinkar¹,

Dashore²,

Joshi³

et al. 2021

IJMSS

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Idiopathic retroperitoneal fibrosis is a rare fibro-inflammatory disease of varied etiology which usually originates around aorta and spreads caudally along Iliac vessels into adjacent retroperitoneum causing ureteral obstruction as the most frequent complication. A 53-year-old male patient presented with complaint of mild pain in both the legs off and on. On investigating further, we found that he had been struggling with intermittent relapses every 3-4 years for last 20 years since he was first diagnosed with Idiopathic Retroperitoneal Fibrosis. He was 33-year-old when he first developed the symptoms of anuria for 48 hours and was diagnosed with Idiopathic retroperitoneal fibrosis. This was followed by atrophy of left kidney and hypertension 6 years later, then hypothyroidism after another 3years and finally involvement of Inferior Vena Cava and acute Deep Vein Thrombosis of lower limbs after another 3-4 years. His deep vein thrombosis was well managed in time. He was put on glucocorticoids everytime he had a relapse and a complication. We did a review of literature to understand recent advances about its pathogenesis, diagnosis, investigations and management. We searched in PubMed using terms like retroperitoneal fibrosis alone and in combination with related terms such as Inferior Vena Cava thrombosis, Deep Vein Thrombosis, Tamoxifen, Methotrexate. This case is unique as it is very rare to find acute Deep Vein Thrombosis in Idiopathic retroperitoneal fibrosis without development of any collaterals when Inferior Vena Cava lumen is compromised to almost complete obstruction. After a follow up of 20 years patient is doing well in terms of physical activity and psychological wellbeing with anti-hypertensives, thyroxine and anti-coagulants. Is the disease-free interval actually free of the disease or it just subsided with immunosuppressants to become active after some time?

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“…Extrinsic compression may result from retroperitoneal adenopathy or fibrosis, aneurysms, and pregnancy, whereas intraluminal occlusion may result from malignant intracaval thrombi from malignancies (e.g., gastric or renal cancer). [ 1 2 3 ] Clinical signs include hepatic congestion, ascites, lower body anasarca, pooling in the lower extremities from elevated pressure in the IVC, and tachycardia; this results from reduced preload due to decreased venous return. Optimal medical treatment is not well defined and depends on mitigating the underlying cause (e.g.…”

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confidence: 99%

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

et al. 2020

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This interesting image illustrates an unusual case of inferior vena cava (IVC) syndrome from prostate cancer retroperitoneal adenopathy initially identified with skeletal scintigraphy. IVC syndrome is an infrequent occurrence resulting from extrinsic compression or intraluminal occlusion of the vessel. Whole-body planar skeletal scintigraphy showed a stable left sacroiliac metastasis and increased soft tissue uptake throughout the lower hemibody up to the lower chest level. Computed tomography (CT) demonstrated extrinsic compression of the IVC from metastatic retroperitoneal adenopathy. This represents a rare presentation of IVC syndrome in prostate cancer with characteristic appearance on skeletal scintigraphy of Fisherman's Wader's sign, that should prompt confirmatory anatomic imaging.

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Inferior vena cava syndrome caused by retroperitoneal fibrosis after pelvic irradiation: A case report

Cited by 3 publications

References 9 publications

Inferior vena cava-syndrome

Inferior vena cava-syndrome

Surviving Complications of Retroperitoneal Fibrosis with Intermittent Relapses over a Period of 20 years: Case report and literature Review

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

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