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Images in Vascular Medicine: Intravascular lipoma of a common femoral vein - an uncommon cause of recurrent deep vein thrombosis

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A 73-year-old woman with a history of recurrent deep vein thrombosis of the left lower extremity, which occurred approximately 7 and 5 years previously, was admitted for placement of a… Click to show full abstract

A 73-year-old woman with a history of recurrent deep vein thrombosis of the left lower extremity, which occurred approximately 7 and 5 years previously, was admitted for placement of a caval filter prior to surgery to repair a left femur fracture. Physical examination revealed edema and swelling of the left leg, and color Doppler ultrasonography (US) documented a floating oval lesion in the left common femoral vein (online supplementary video). Subsequently, computed tomography (CT) of the abdomen demonstrated a filling defect in the left femoral vein, supported by an oval formation with sharp margins and fat attenuation, with axial dimensions of 19 × 16 mm (Panel A, arrows)

Keywords: vein thrombosis; deep vein; femoral vein; recurrent deep; medicine; vein

Journal Title: Vascular Medicine
Year Published: 2022

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