Intravascular lipoma of the inferior vena cava and left renal vein

Hirofumi Koike, MD; Miyakawa Suzuka, MD; Minoru Morikawa, MD; Eijyun Sueyoshi, MD; Masataka Uetani, MD

Radiology Case Reports (Jun 2021)

Intravascular lipoma of the inferior vena cava and left renal vein

Hirofumi Koike, MD,
Miyakawa Suzuka, MD,
Minoru Morikawa, MD,
Eijyun Sueyoshi, MD,
Masataka Uetani, MD

Affiliations

Hirofumi Koike, MD: Corresponding author.; Department of Radiological Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Miyakawa Suzuka, MD: Department of Radiological Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Minoru Morikawa, MD: Department of Radiological Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Eijyun Sueyoshi, MD: Department of Radiological Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan
Masataka Uetani, MD: Department of Radiological Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan

Journal volume & issue: Vol. 16, no. 6
pp. 1233 – 1236

Abstract

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Intravenous lipoma of the inferior vena cava is an incidental finding on contrast-enhanced computed tomography in 0.5% of individuals. We report a case of multiple intravenous lipomas discovered during diagnosis of cholangitis in a 39-year-old woman. Imaging revealed three fatty masses that appeared connected by cordlike structures: one in the left renal vein with wide mural attachment and two in the inferior vena cava, the higher of which was mobile. We hypothesize that these originated as a single lipoma that subsequently divided into three distinct masses. Because mobile masses may cause pulmonary thromboembolism, surgery is recommended in these cases.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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