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Dilatación idiopática unilateral de la vena vorticosa: reporte de caso con imágenes multimodales
Xiaohui Tian1, Leibing Ji2, Reyisai Abudulamu1
1Department of Ophthalmology, Xinjiang 474 Hospital, Urumqi, Xinjiang, China.
BMC ophthalmology
|December 23, 2025
Resumen
La dilatación idiopática de la vena vorticosa, una afección rara, se diagnosticó mediante técnicas avanzadas de imagen multimodal. Este caso destaca las características clave de imagen para un diagnóstico preciso y para prevenir diagnósticos erróneos.
Área de la Ciencia:
- Oftalmología
- Imágenes médicas
Sus antecedentes:
- La dilatación de la vena vorticosa es un hallazgo clínico poco común.
- Puede confundirse con tumores coroideos o lesiones vasculares, lo que conlleva el riesgo de tratamientos innecesarios.
- Los casos idiopáticos están infrarrepresentados, con descripciones limitadas de las características de imagen.
Objetivo del estudio:
- Documentar un caso de dilatación idiopática de la vena vorticosa.
- Detallar su diagnóstico mediante imágenes multimodales.
- Establecer criterios de diagnóstico para esta rara afección.
Principales métodos:
- Se presentó un varón de 51 años con un hallazgo incidental anormal en el fondo de ojo.
- Se emplearon imágenes multimodales, incluyendo fotografía de fondo de ojo en color, ecografía ocular, angiografía con fluoresceína sódica (FFA) y angiografía con verde de indocianina (ICGA).
- Se excluyeron causas secundarias para confirmar la dilatación quística idiopática de la vena vorticosa.
Principales resultados:
- La imagen multimodal reveló características distintivas de la dilatación idiopática de la vena vorticosa.
- La combinación de modalidades de imagen excluyó con éxito otros diagnósticos potenciales.
- Se estableció un diagnóstico definitivo de dilatación quística idiopática de la vena vorticosa.
Conclusiones:
- La dilatación idiopática de la vena vorticosa tiene firmas únicas de imagen multimodal.
- Estos hallazgos de imagen pueden servir como criterios de diagnóstico.
- El diagnóstico preciso ayuda a los médicos a evitar diagnósticos erróneos e intervenciones inapropiadas.
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