Abstracts

RETURN TO ABSTRACT LISTING


E2418. A Spectrum of Normal and Pathological Conditions of the IVC: A Multimodality Approach with Emphasis on Ultrasound
Authors
  1. Margarita Revzin; Yale School of Medicine
  2. Douglas Katz; Winthrop University Hospital
  3. Cristine Menias; Mayo Clinic Arizona
Background
IVC pathology is an often overlooked potential source of pathology during imaging, most notably at the time of right upper quadrant ultrasound and trauma CT studies.It is imperative to recognize IVC pathologies ultrasound as a first step modality and suggest a diagnosis or further imaging and management.This presentation aims to present benign and non benign conditions of the IVC in the emergency department under the categories of: Trauma, neoplastic, systemic, thrombus related, and congenital associated pathology with CT and Ultrasound correlate. To our knowledge, there is very little literature on US presentation of IVC pathology with CT correlation.

Educational Goals / Teaching Points
1. To understand relevant IVC anatomy, pathophysiology and its relationship to the adjacent structures and retroperitoneal spaces 2. To recognize various imaging modalities and optimal protocols for evaluation of IVC, including trauma protocol and Doppler ultrasound 3. To understand benign and malignant conditions of the IVC and associated key imaging findings using multimodality approach with emphasis on ultrasound.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
IVC benign and malignant conditions of the IVC including trauma, neoplastic, systemic, thrombus related, and congenital Duplex ultrasound of the IVC

Conclusion
The IVC is an often overlooked source of pathology in the clinical setting. In many cases ultrasound is the first imaging modality for evaluation of the IVC and knowledge and recognition of the various IVC pathologies is important for accurate diagnosis and futher imaging and management.