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INTERESTING IMAGE
Year : 2020  |  Volume : 19  |  Issue : 3  |  Page : 324-326

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


Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA

Correspondence Address:
Dr. Darko Pucar
Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510
USA
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DOI: 10.4103/wjnm.WJNM_53_19

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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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