case_images: PMC10982337_01
case_images: Filling defects from the beginning of the right renal vein and bilateral iliac veins to the inferior vena cava atrium, diffuse and filled with low-density shadow (A, B). Filling defect in the left lower pulmonary artery (C). Multiple filling defects can be seen in the left lower lobe pulmonary artery trunk and its branches, right pulmonary artery trunk and its branches, and left upper lobe pulmonary artery branches (D).
case_images: fonc-14-1372625-g001.jpg
case_images: PMC10982337_01_fonc-14-1372625-g001.jpg
case_images: f1
case_images: Bilateral common iliac vein, external iliac vein, and femoral vein were secondary apposition blood clot formation. ( Figure 1A, B ). Urgent three-dimensional pulmonary artery CT revealed multiple pulmonary embolisms, including multiple filling defects in the left lower lobe pulmonary artery trunk and its branches, left upper lobe pulmonary artery and its branches, and right pulmonary artery trunk and its branches ( Figure 1C, D ).
case_images: The removed kidney is 15*8*7 cm in size, with visible renal vein tumor thrombus (A, B).Tumor thrombus at the opening of the left inferior pulmonary artery and tumor thrombus at the main trunk of the right pulmonary artery, with a size of about 3*6cm (C) and 4*13 cm (D).
case_images: fonc-14-1372625-g002.jpg
case_images: PMC10982337_01_fonc-14-1372625-g002.jpg
case_images: f2
case_images: After successful induction of anesthesia, we performed a median sternal incision ( Figure 2A ). The distal end of the emboli had a fork ( Figure 2C, D ). The urologists chose the median abdominal incision approach for right nephrectomy ( Figure 2A, B ) and IVC thrombectomy.