Computed tomography features of acute thrombosis of central veins with perivenous inflammatory changes.
OBJECTIVE
Our purpose was to examine the computed tomographic findings in 13 patients with acute deep venous thrombosis (DVT) of central veins of the neck, chest, and abdomen in whom major perivenous inflammatory changes were noted.


METHODS
During a 10-year period, 13 patients with acute DVT of 21 central veins and marked perivenous inflammatory changes on computed tomography were identified. Computed tomography images were assessed for location of DVT and pattern of perivenous changes.


RESULTS
The perivenous changes took the form of a rounded or lobulated perivenous bulky mass (massive pattern or tumorlike) in 5 patients and of infiltrative changes in the other 8 patients. Direct visualization of the thrombotic vein was possible in 8 patients. Follow-up examinations (range, 6-36 months; mean, 15 months) demonstrated resolution of perivenous inflammatory changes with anticoagulation therapy in all cases.


CONCLUSIONS
Perivenous inflammatory changes around the thrombotic vein presented as a rounded or lobulated perivenous bulky mass that may mimic a tumor or as infiltrative perivenous changes.
Department of Radiology, Saint-Antoine Hospital, Paris, France. lionel.arrive@sat.ap-hop-paris.fr
Lionel
L
Arrivé
Michel Daoud
MD
Crema
Maïté
M
Lewin
Christine
C
Hoeffel
Louisa
L
Azizi
Jean-Michel
JM
Tubiana
Laurence
L
Monnier-Cholley
D000005:Abdomen / Q000098:blood supply; D000208:Acute Disease; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging; D008642:Mesenteric Veins / Q000000981:diagnostic imaging; D008875:Middle Aged; D009333:Neck / Q000098:blood supply; D011169:Portal Vein / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D013909:Thorax / Q000098:blood supply; D013924:Thrombophlebitis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D020246:Venous Thrombosis / Q000000981:diagnostic imaging*