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Updated: Jul 17, 2026
06:29
Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Malignant pheochromocytoma with IVC thrombus
Katsumi Shigemura1, Kazushi Tanaka, Soichi Arakawa
1Division of Urology, Department of Organ Therapeutics, Faculty of Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
International Urology and Nephrology
|February 3, 2007
Summary
A patient with right pheochromocytoma and inferior vena cava (IVC) thrombus underwent successful surgical removal. Preoperative imaging is crucial for managing this rare condition.
Area of Science:
- Endocrinology
- Surgical Oncology
- Vascular Surgery
Background:
- Pheochromocytoma, a rare neuroendocrine tumor, can present with vague symptoms like bloating, sweating, and weight loss.
- Inferior vena cava (IVC) thrombus formation is a rare but serious complication of pheochromocytoma, necessitating specialized surgical approaches.
Observation:
- A 61-year-old male presented with bloating, significant sweating, and weight loss.
- Diagnostic workup revealed right pheochromocytoma with an inferior vena cava (IVC) thrombus, confirmed by biochemical and imaging studies.
Findings:
- The patient underwent successful right adrenalectomy and IVC thrombectomy without cardiopulmonary bypass.
- Pathological examination confirmed a potentially malignant pheochromocytoma.
- Postoperatively, symptoms resolved, and catecholamine levels normalized.
Implications:
- Accurate preoperative localization of the IVC thrombus is critical for safe and effective surgical management of pheochromocytoma with IVC involvement.
- Magnetic resonance imaging (MRI) and ultrasound are valuable tools for precise diagnosis of IVC thrombus location, guiding surgical strategy.
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