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    Abdominal aorta and inferior vena cava thromboses in advanced stage of malignant fibrous histiocytoma.
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    Abstract:
    Asymptomatic simultaneous thrombosis of abdominal aorta and inferior vena cava is a rare complication in advanced malignancy. We described an incidental finding of this clinical entity in our patient who presented with advance stage of malignant fibrous hystiocytoma of soft tissue and pathological fracture. The radiological evaluation with spiral computed tomography scan of abdominal aorta and inferior vena cava are presented and the subsequent management highlighted.
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    Abdominal aorta
    Spontaneous abdominal aorta thrombosis is extremely rare. Symptoms vary widely, ranging from asymptomatic to more catastrophic presentations. We report the case of a 40-year-old lady who presented with 1-week history of abdominal pain and was found to have spontaneous abdominal aorta thrombosis.
    Abdominal aorta
    Four cases of asymptomatic testicular tumors with inferior vena cava (IVC) involvement are reported. All patients were referred to our hospital with non-specific abdominal pain and abdominal US revealed an inferior vena cava thrombosis. CT showed an IVC thrombus extending from the first to second lumbar vertebrae and also retroperitoneal lymphadenopathy in 3 patients. Scrotal US demonstrated intratesticular tumors. IVC thrombosis may result from asymptomatic intratesticular tumors (single or multiple). Because of that, scrotal US is of paramount importance as a routine screening test in patients who radiographically demonstrate caval thrombosis.
    Vena cava
    A 33-year-old woman had a diagnosis of idiopathic Budd-Chiari syndrome complicated by inferior vena caval occlusion. Conservative medical therapy failed to control the symptoms of both portal hypertension and vena caval stasis. Therefore, a prosthetic shunt was placed from the right common iliac vein to the right atrium with a side-arm to the superior mesenteric vein. She exhibited almost complete relief of symptoms and the graft was documented to be patent two weeks postoperatively. In many instances aggressive surgical therapy may help these patients who, in the past, would have been relegated to symptomatic therapy.
    Budd–Chiari syndrome
    Medical Therapy
    Superior mesenteric vein
    Asymptomatic simultaneous thrombosis of abdominal aorta and inferior vena cava is a rare complication in advanced malignancy. We described an incidental finding of this clinical entity in our patient who presented with advance stage of malignant fibrous hystiocytoma of soft tissue and pathological fracture. The radiological evaluation with spiral computed tomography scan of abdominal aorta and inferior vena cava are presented and the subsequent management highlighted.
    Abdominal aorta
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