1. Intravenous leiomyomatosis misdiagnosed with large thrombosis in inferior vena cava
- Author
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Inhye Shin, Hyun Hee Cho, Youn-Jee Chung, Jung Yoon Park, Youngsin Han, Mee Ran Kim, Jae-Yen Song, Suhyun Shim, and Ayah Hijazi
- Subjects
medicine.medical_specialty ,lcsh:Gynecology and obstetrics ,Inferior vena cava ,03 medical and health sciences ,0302 clinical medicine ,Leiomyomatosis ,Medicine ,lcsh:RG1-991 ,030219 obstetrics & reproductive medicine ,Uterine leiomyoma ,Leiomyoma ,business.industry ,Obstetrics and Gynecology ,Thrombosis ,Abdominal distension ,medicine.disease ,Intravenous leiomyomatosis ,medicine.vein ,Surgery ,Radiology ,medicine.symptom ,business ,Rare disease - Abstract
Objective The aim of this report is to highlight the importance of a comprehensive preoperative evaluation in the case of intravenous leiomyomatosis. Case report A 49-year-old women was presented with dyspnea and abdominal distension. Imaging studies revealed a large leiomyoma with intravenous leiomyomatosis from this mass to the right parauterine veins, right ovarian vein reaching the inferior vena cava. Complete resection was performed by a two-stage operation by a multidisciplinary team. Final pathology confirmed it to be intravenous leiomyomatosis and uterine leiomyomas. Conclusion Intravenous leiomyomatosis is a benign and rare disease that can be a fatal condition. Precise diagnosis and appropriate treatment are important for the best outcome. Gynecologists should consider this rare disease when a patient with a uterine tumor shows symptoms such as chest pain and dyspnea.
- Published
- 2021
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