Iliofemoral vein thrombosis due to an intravascular fasciitis

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Iliofemoral vein thrombosis due to an intravascular fasciitis Sang-il Min, MD, Ahram Han, MD, Chanjoong Choi, MD, Seung-Kee Min, MD, PhD, Jongwon Ha, MD, PhD, In Mok Jung, MD, PhD Journal of Vascular Surgery Cases Volume 1, Issue 2, Pages 73-76 (June 2015) DOI: 10.1016/j.jvsc.2014.10.003 Copyright © 2015 The Authors Terms and Conditions

Fig 1 A, T2-weighted magnetic resonance image showed the thrombus in the left common femoral vein (CFV). B, The initial venogram revealed thrombotic occlusion of distal external iliac vein and CFV. C, Mechanical thrombectomy and thrombolysis were attempted, but a short segment of thrombus was remained. D, After treatment for 1 month with rivaroxaban, an enhanced computed tomography (CT) scan showed remnant thrombus in the left CFV. E, The venogram showed fusiform mass in the CFV, and second course of thrombolysis did not have an effect. Journal of Vascular Surgery Cases 2015 1, 73-76DOI: (10.1016/j.jvsc.2014.10.003) Copyright © 2015 The Authors Terms and Conditions

Fig 2 The removed thrombus resembled a fusiform mass. Journal of Vascular Surgery Cases 2015 1, 73-76DOI: (10.1016/j.jvsc.2014.10.003) Copyright © 2015 The Authors Terms and Conditions

Fig 3 Microscopic features of the intravascular fasciitis. A, The mass is composed of proliferative spindle cells arranged in a swirling pattern (hematoxylin and eosin, original magnification ×200). B, Spindle cells are intensively positive for smooth muscle actin. C, The spindle cells lack desmin expression. D, Capillary network is clearly demonstrated with anti-CD34 antibody; however, the spindle cells are negative for CD34. E, Spindle cells immunopositive for Ki-67 are frequently seen. Journal of Vascular Surgery Cases 2015 1, 73-76DOI: (10.1016/j.jvsc.2014.10.003) Copyright © 2015 The Authors Terms and Conditions