Early IVC opacification: One clue, several paths

Andjoli Davidhi, Christos Christoforidis, Panos Prassopoulos


A 62-year-old, bedridden, male patient was referred to the hospital due to exacerbation of low back pain, lasting for six months. Pain was attributed to lumbar spondylodiscitis - diagnosed by blood culture - which was treated with various combinations of antibiotics. However, the pain never receded.

His clinical examination revealed oedema of lower extremities, abdominal thrill and bruit. A gradually deteriorating heart and renal failure after a left hemilaminectomy/discectomy at the L4-L5 level, performed a year ago, was reported in the patient’s medical history.

A CT examination was requested; the first slices of the CT examination (Fig. 1a, b) revealed an imaging sign that can be seen in a wide spectrum of diseases.


Early; IVC; opacification; DDx;

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DOI: http://dx.doi.org/10.36162/hjr.v6i1.401


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