The “Fisherman’s Waders” sign in a bone scan of inferior vena cava thrombosis associated with nephrotic syndrome

Chu, Li-Wei; Chang, Cheng; Liu, Ren shyan; Wynchank, S.; Sheu, Ming-Huei; Chiang, Jen–Huey; Yeh, S. H.

doi:10.1007/bf03168407

Cited by 8 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20,46 Inflammatory bowel disease, nephrotic syndrome and sepsis predispose to venous thromboses owing to associated risks of severe dehydration, protein/anticoagulant loss and elevated inflammatory response. [47][48][49][50] A further variant of primary IVC thrombosis, occasionally termed obliterative or membranous hepatocavopathy, most commonly occurs in the hepatic portion (as the name suggests), and is characterised by a thrombus organising into a fibrous, membranous obstruction of the IVC. The cause of such primary IVC thrombosis is often idiopathic.…”

Section: Acquired Ivc Thrombosismentioning

confidence: 99%

See 1 more Smart Citation

Inferior vena cava thrombosis: A review of current practice

et al. 2013

View full text Add to dashboard Cite

Inferior vena cava (IVC) thrombosis remains under-recognised as it is often not pursued as a primary diagnosis. The aetiology of IVC thrombosis can be divided into congenital versus acquired, with all aetiological factors found among Virchow's triad of stasis, injury and hypercoagulability. Signs and symptoms are related to aetiology and range from no symptoms to cardiovascular collapse. Painful lower limb swelling combined with lower back pain, pyrexia, dilatation of cutaneous abdominal wall veins and a concurrent rise in inflammatory markers are suggestive of IVC thrombosis. Following initial lower limb venous duplex, magnetic resonance imaging (MRI) is the optimal non-invasive imaging tool. Aetiology directs treatment, which ranges from anticoagulation and lower limb compression to open surgery, with endovascular therapies increasingly favoured. The objective of this review is to assess current literature on the aetiology, presentation, investigation, treatment, prognosis and other factors pertaining to IVC thrombosis.

show abstract

Section: Acquired Ivc Thrombosismentioning

confidence: 99%

Section: Aetiologymentioning

confidence: 99%

Inferior vena cava thrombosis: A review of current practice

et al. 2013

View full text Add to dashboard Cite

show abstract

“…[7] Another study reported Fisherman's Waders' sign in a lymphoma patient complicated by IVC obstruction seen on CT and bone scans and in nonthrombotic portal hypertension. [8] This represents a rare report of Wader's sign from IVC syndrome in metastatic prostate cancer highlighting its characteristic imaging appearance that should prompt confirmatory anatomic imaging.…”

mentioning

confidence: 78%

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

et al. 2020

View full text Add to dashboard Cite

This interesting image illustrates an unusual case of inferior vena cava (IVC) syndrome from prostate cancer retroperitoneal adenopathy initially identified with skeletal scintigraphy. IVC syndrome is an infrequent occurrence resulting from extrinsic compression or intraluminal occlusion of the vessel. Whole-body planar skeletal scintigraphy showed a stable left sacroiliac metastasis and increased soft tissue uptake throughout the lower hemibody up to the lower chest level. Computed tomography (CT) demonstrated extrinsic compression of the IVC from metastatic retroperitoneal adenopathy. This represents a rare presentation of IVC syndrome in prostate cancer with characteristic appearance on skeletal scintigraphy of Fisherman's Wader's sign, that should prompt confirmatory anatomic imaging.

show abstract

“…4 Previously reported causes of localization of bone radiotracer in vascular lesions include femoral artery calcification, 7,8 aortic aneurysms, 9 phlebitis, 10 and venous thrombosis. [11][12][13][14] However, despite the high prevalence of phleboliths, uptake of bone radiotracer has been very rarely reported in the literature. 15 …”

Section: Figurementioning

confidence: 93%

Tc-99m Methylene Diphosphonate Uptake by Numerous Phleboliths in the Lower Extremity Detected Incidentally During Bone Scintigraphy

Sohn

Jeong²,

Lim³

et al. 2010

Clinical Nuclear Medicine

View full text Add to dashboard Cite

Phleboliths are calcified thrombi within veins and very common in the veins of the lower part of the pelvis. Most adults have a small number of phleboliths. However, despite the high prevalence, phleboliths with increased uptake on bone scintigraphy have very rarely been reported in the literature. Tc-99m methylene diphosphonate bone scintigraphy was performed on a 46-year-old man with an abscess on the plantar surface of the left foot, which demonstrated incidental, irregular, mottled, increased uptake in the soft tissues of the left thigh and leg, which corresponded to numerous phleboliths on plain radiographs and CT.

show abstract

The “Fisherman’s Waders” sign in a bone scan of inferior vena cava thrombosis associated with nephrotic syndrome

Cited by 8 publications

References 12 publications

Inferior vena cava thrombosis: A review of current practice

Inferior vena cava thrombosis: A review of current practice

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

Tc-99m Methylene Diphosphonate Uptake by Numerous Phleboliths in the Lower Extremity Detected Incidentally During Bone Scintigraphy

Contact Info

Product

Resources

About