Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome

One of the common causes of superior vena cava (SVC) syndrome is malignancy of the lung. The invasion of SVC leads to opening of the various venous channels for continuation of the blood flow from upper extremity and proximal trunk and finally draining into right atrium. Vein of Sappey is one of the...

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Main Authors: Shitalmala Devi, Thangjam Gautam Singh, Reema Ningthoukhongjam
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-01-01
Series:Indian Journal of Medical and Paediatric Oncology
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Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=1;spage=62;epage=64;aulast=Devi
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author Shitalmala Devi
Thangjam Gautam Singh
Reema Ningthoukhongjam
author_facet Shitalmala Devi
Thangjam Gautam Singh
Reema Ningthoukhongjam
author_sort Shitalmala Devi
collection DOAJ
description One of the common causes of superior vena cava (SVC) syndrome is malignancy of the lung. The invasion of SVC leads to opening of the various venous channels for continuation of the blood flow from upper extremity and proximal trunk and finally draining into right atrium. Vein of Sappey is one of these channels and it causes focal striking enhancement in segment IV of the liver on arterial phase of contrast computed tomography (CT). This enhancement causes diagnostic difficulty and unnecessary biopsy due to misinterpretation of it as a secondary from lung cancer. Awareness and accurate diagnosis can avoid further examination in such patients. It can also provide an idea of a more proximal major thoracic vessel obstruction if first detected on CT of the abdomen (contrast).
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language English
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-e97fb4e8ca2d4ef39c618260ccdce23b2025-08-20T02:03:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512017-01-01381626410.4103/ijmpo.ijmpo_125_16Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndromeShitalmala DeviThangjam Gautam SinghReema NingthoukhongjamOne of the common causes of superior vena cava (SVC) syndrome is malignancy of the lung. The invasion of SVC leads to opening of the various venous channels for continuation of the blood flow from upper extremity and proximal trunk and finally draining into right atrium. Vein of Sappey is one of these channels and it causes focal striking enhancement in segment IV of the liver on arterial phase of contrast computed tomography (CT). This enhancement causes diagnostic difficulty and unnecessary biopsy due to misinterpretation of it as a secondary from lung cancer. Awareness and accurate diagnosis can avoid further examination in such patients. It can also provide an idea of a more proximal major thoracic vessel obstruction if first detected on CT of the abdomen (contrast).http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=1;spage=62;epage=64;aulast=DeviBronchogenic carcinomapseudolesionsuperior vena cava syndromevein of Sappey
spellingShingle Shitalmala Devi
Thangjam Gautam Singh
Reema Ningthoukhongjam
Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
Indian Journal of Medical and Paediatric Oncology
Bronchogenic carcinoma
pseudolesion
superior vena cava syndrome
vein of Sappey
title Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
title_full Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
title_fullStr Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
title_full_unstemmed Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
title_short Hepatic pseudolesion due to “vein of Sappey” in superior vena cava syndrome
title_sort hepatic pseudolesion due to vein of sappey in superior vena cava syndrome
topic Bronchogenic carcinoma
pseudolesion
superior vena cava syndrome
vein of Sappey
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2017;volume=38;issue=1;spage=62;epage=64;aulast=Devi
work_keys_str_mv AT shitalmaladevi hepaticpseudolesionduetoveinofsappeyinsuperiorvenacavasyndrome
AT thangjamgautamsingh hepaticpseudolesionduetoveinofsappeyinsuperiorvenacavasyndrome
AT reemaningthoukhongjam hepaticpseudolesionduetoveinofsappeyinsuperiorvenacavasyndrome