Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Japan.
Department of Diagnostic Radiology, National Cancer Center Hospital, Japan.
Intern Med. 2020 Nov 15;59(22):2885-2890. doi: 10.2169/internalmedicine.5033-20. Epub 2020 Jul 28.
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.
一位 70 岁男性，因下肢明显水肿伴步态不稳入院，下肢水肿病史超过 6 个月。患者因乙状结肠癌术后多次复发，接受全身化疗已超过两年。增强 CT 显示下腔静脉（IVC）严重狭窄，由淋巴结转移压迫所致，即 IVC 综合征。尽管增加利尿剂剂量也未能改善水肿，仍进行了 IVC 支架置入术。这导致水肿显著改善，步态完全正常。该病例证明了 IVC 支架置入术治疗 IVC 综合征的疗效。
