Week 277: Case 5

1. Presented by Peter Illei, M.D. and prepared by Jeffrey T. Schowinsky, M.D.

This 79-year-old gentleman with a history of prostate cancer, left inguinal hernia repair and a history of deep venous thrombosis noticed palpable masses in his left groin and increasing left lower extremity swelling. A CT scan revealed significant left inguinal lymphadenopathy whereas ultrasound evaluation identified acute occlusive thrombotic disease in the left iliac and sapheno-femoral system. He underwent an inferior venacaval placement by CVDL and a left inguinal lymph node excisional biopsy.