Femoral Vein Intravascular Synovial Sarcoma Mimicking Primary Deep Vein Thrombosis—A Rare Cause of Deep Vein Thrombosis

R. Jayakrishanan; Jineesh Valakkada; Anoop Ayyappan; Rajalakshmi Poyuran; Shivanesan Pitchai

doi:10.1055/s-0043-1771521

Indian Journal of Radiology and Imaging, Table of Contents

CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(01): 156-159
DOI: 10.1055/s-0043-1771521

Case Report

Femoral Vein Intravascular Synovial Sarcoma Mimicking Primary Deep Vein Thrombosis—A Rare Cause of Deep Vein Thrombosis

R. Jayakrishanan

¹Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

,

Jineesh Valakkada

¹Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

,

Anoop Ayyappan

¹Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

,

Rajalakshmi Poyuran

²Department of Pathology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

,

Shivanesan Pitchai

³Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India

› Author Affiliations

Abstract

Synovial sarcomas are rare malignant mesenchymal soft tissue tumors. We presented the case of a 53-year-old woman patient presenting with acute deep vein thrombosis, later diagnosed as a deep synovial sarcoma of the femoral vein wall. The tumor was identified through cross-sectional magnetic resonance angiography and computed tomography, followed by ultrasound-guided core biopsy. The case report emphasized the importance of considering the possibility of an intravascular neoplasm mimicking thrombus, particularly if calcifications, vein expansion with intravascular cystic spaces, fluid–fluid levels, and septations within a thrombosed vein are seen in imaging.

Keywords

deep vein thrombosis - femoral vein malignancy - intravascular synovial sarcoma - intravascular tumors - synovial sarcoma

Full Text

References

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