Case Report
 
Intra-aortic metastases or intra-arterial thrombus?
Anna J Lomax1, Saw Yee Yap1, Mustafa Khasraw2
1Oncology registrar Andrew Love Cancer Centre Geelong Hospital, Geelong VIC 3220, Australia.
2Oncologist, Andrew Love Cancer Centre, Geelong Hospital, Geelong VIC 3220, Australia.

doi:10.5348/ijcri-2013-07-333-7

Address correspondence to:
Anna J Lomax
Andrew Love Cancer Centre
Geelong Hospital
Geelong VIC 3220
Australia
Email: annalomax@y7mail.com

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How to cite this article:
Lomax AJ, Yap SY, Khasraw M. Intra-aortic metastases or intra-arterial thrombus? International Journal of Case Reports and Images 2013;4(7):368–371.


Abstract
Introduction: Intra-arterial malignancies are difficult to diagnose as they mimic other more common pathologies such as pulmonary embolus and vascular occlusive disease. Appropriate treatment may, therefore, be delayed.
Case Report: We report a case of an occluded carotid artery and aortic mucosal thickening with a peduculated thrombus occurring in a patient with metastatic sarcomatoid carcinoma while anticoagulated.
Conclusion: Diagnosis requires various imaging modalities and a consideration of an alternative diagnosis if not responding to initial therapy.

Keywords: Intravascular metastases, Intra-aortic metastases, Arterial thrombus, Sarcomatoid carcinoma


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Author Contributions
Anna J Lomax – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Saw Yee Yap – Acquisition of CT images, Drafting the introduction, Final approval of the version to be published
Mustafa Khasraw – Contributions to conception and editing of article, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Anna Lomax et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)