Spindle cell sarcoma of the common femoral vein as a possible differential for deep venous thrombosis on ultrasound

摘要

We present a case of a spindle cell tumor, initially diagnosed as deep venous thrombosis (DVT), in a previously healthy 50-year-old man presenting with acute onset shortness of breath. The patient had no known risk factors for development of thromboembolic disease. However, multiple bilateral pulmonary emboli were detected on spiral computed tomography (CT) of the chest. Duplex study demonstrated a non-compressible right common femoral vein with minimal flow that was read as an acute DVT (Panel A).The patient did not complain of any leg pain at this time and there were no palpable masses on physical exam.