Stent Placement for Malignant Inferior Vena Cava Syndrome in a Patient with Recurrent Colon Cancer

Shinichi Morita; Shunsuke Sugawara; Takeshi Suda; Didik Prasetyo; Yuka Kobayashi; Takahiro Hoshi; Satoshi Abe; Kazuyoshi Yagi; Shuji Terai

doi:10.2169/internalmedicine.5033-20

This article has now been updated. Please use the final version.

Stent Placement for Malignant Inferior Vena Cava Syndrome in a Patient with Recurrent Colon Cancer

Shinichi Morita, Shunsuke Sugawara, Takeshi Suda, Didik Prasetyo, Yuka Kobayashi, Takahiro Hoshi, Satoshi Abe, Kazuyoshi Yagi, Shuji Terai

Author information

Shinichi Morita
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Shunsuke Sugawara
Department of Diagnostic Radiology, National Cancer Center Hospital, Japan
Takeshi Suda
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Didik Prasetyo
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Yuka Kobayashi
Department of Gastroenterology and Hepatology, Nagaoka Central General Hospital, Japan
Takahiro Hoshi
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Satoshi Abe
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Kazuyoshi Yagi
Department of Gastroenterology and Hepatology,, Uonuma Institute of Community Medicine Niigata University Hospital, Japan
Shuji Terai
Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Japan

Keywords: Inferior vena cava syndrome, IVC stent, Stent placement, Colon cancer, Quality of life

JOURNAL OPEN ACCESS Advance online publication

Article ID: 5033-20

DOI https://doi.org/10.2169/internalmedicine.5033-20

The final version of this article is now available: Vol. 59 (2020), No. 22 pp. 2885-2890

Details

Abstract

A 70-year-old man was admitted to our hospital with gait disturbance due to marked edema of the lower limbs for more than 6 months. He had been receiving systemic chemotherapy over two years for multiple recurrence after sigmoid colon cancer resection. Contrast-enhanced computed tomography demonstrated severe inferior vena cava (IVC) stenosis due to compression by lymph node metastases, i.e. IVC syndrome. As increased doses of diuretic agents failed to improve the edema, IVC stent placement was performed. This led to significant improvement of the edema and complete gait normalization. This case demonstrates the efficacy of IVC stent placement for IVC syndrome.

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