Oncovascular Resection and Reconstruction of Recurrent Retroperitoneal Liposarcoma Adherent to the Iliac Veins and Vena Cava

Intravascular fasciitis (IVF) is a very rare disease that is difficult to diagnose preoperatively. Frequently, it can be misdiagnosed as a malignancy or deep vein thrombosis. A 26-year-old man presented with a 6-month history of intermittent cramping pain in the right calf. Duplex ultrasonography, c...

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Bibliographic Details
Published in:	Vascular Specialist International Vol. 37; no. 1; pp. 58 - 59
Main Authors:	Kontopodis, Nikolaos, Bree, Eelco de, Michelakis, Demosthenis, Ioannou, Christos V.
Format:	Journal Article
Language:	English
Published:	The Korean Society for Vascular Surgery 31-03-2021 Medrang 대한혈관외과학회
Subjects:	Image of Vascular Surgery 일반외과학
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Summary:	Intravascular fasciitis (IVF) is a very rare disease that is difficult to diagnose preoperatively. Frequently, it can be misdiagnosed as a malignancy or deep vein thrombosis. A 26-year-old man presented with a 6-month history of intermittent cramping pain in the right calf. Duplex ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography were performed in various hospitals. The work-up revealed a hypermetabolic mass in the femoral vein, suggestive of a malignancy, such as leiomyosarcoma. The tumor was located inside the femoral vein with no invasion, and the mass was resected en bloc with the vein wall. Intraoperative frozen section biopsy revealed no malignancy, and the final pathological diagnosis was IVF. Herein, we report a case of IVF and discuss the role of imaging studies in its preoperative diagnosis, with an extensive literature review.
ISSN:	2288-7970 2288-7989
DOI:	10.5758/vsi.210017