Giant hemangioma of liver presenting as deep vein thrombosis of the lower limbs

Intraluminal echogenic thrombus was seen extending from the superficial femoral veins to lower IVC [Figure 1]a. Abdominal scan showed a well-defined hyperechoic mass in the caudate lobe of the liver, compressing the IVC [Figure 1]b. Multiphase computed tomography (CT) scan showed central patchy enha...

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Bibliographic Details
Published in:Journal of postgraduate medicine (Bombay) 2009-10, Vol.55 (4), p.290-291
Main Authors: Madhusudhan, K, Srivastava, D, Gamanagatti, S
Format: Article
Language:English
Subjects:
Blood clots
Care and treatment
Case studies
Diagnosis
Hemangioma
Risk factors
Veins & arteries
Venous thrombosis
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Summary:Intraluminal echogenic thrombus was seen extending from the superficial femoral veins to lower IVC [Figure 1]a. Abdominal scan showed a well-defined hyperechoic mass in the caudate lobe of the liver, compressing the IVC [Figure 1]b. Multiphase computed tomography (CT) scan showed central patchy enhancement of the lesion in arterial phase with complete filling in delayed phase. Magnetic resonance imaging (MRI) of the abdomen done two months later showed the lesion to be hypointense on T1-weighted and hyperintense on the T2W images [Figure 2]a. Multi-phasic contrast MRI showed central patchy enhancement in arterial phase, which progressively increased in size in portal venous and equilibrium phases with complete opacification of the lesion at delayed images taken at one hour [Figure 2]b and c. These features were suggestive of hemangioma with atypical enhancement.
ISSN:0022-3859
0972-2823
DOI:10.4103/0022-3859.58939