Uterineintravenous leiomyomatosis with cardiac involvement

Irfan Masood, Cihan Duran, Komal Malik, Luba Frank

Research output: Contribution to journalArticle

Abstract

Intravenous leiomyomatosis is a histologically benign smooth muscle tumor that arises either by direct extension of a uterine leiomyoma into the adjacent veins or by vascular intimal smooth muscle proliferation. Herein, we report the case of a 60-year-old female who was noted to have suspected cardiac mass on elective echocardiography done electively for abnormal electrocardiographic findings. Computed tomography and cardiac magnetic resonance indicated the presence of an intravenous leiomyoma originating from the uterus and extending to the inferior vena cava and right atrium. The patient was managed with a single-stage surgery involving cardiopulmonary bypass and excision of the right atrial mass, excision of the inferior vena cava tumor thrombus, and total abdominal hysterectomy and bilateral salpingo-oophorectomy.

Original languageEnglish (US)
Pages (from-to)1389-1393
Number of pages5
JournalRadiology Case Reports
Volume15
Issue number8
DOIs
StatePublished - Aug 2020

Keywords

  • IVC tumor thrombus
  • Intravenous leiomyomatosis
  • Right atrial mass
  • Uterine leiomyoma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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