Abstract

Case Report

Intravascular leiomyoma misdiagnosed as deep vein thrombosis: A case report

Feng Wen*, Yiheng Zhang, Zhen Liu and Zaiming Lu

Published: 30 June, 2021 | Volume 5 - Issue 2 | Pages: 042-045

Background: Leiomyoma itself is not a rare disease, but it is rarely found intravascularly.

Case presentation: A 54-year old female sought medical help after noticing her leg being swelling. A diagnosis of deep vein thrombosis (DVT) was made and antithrombotic treatment was given after her initial imaging exam. Several days later, a contrast CT and sequential pathology revealed the real diagnosis was intravascular leiomyoma. The patient was discharged after a successful surgery.

Conclusion: Intravascular leiomyoma should not be confused with DVT.

Read Full Article HTML DOI: 10.29328/journal.jro.1001037 Cite this Article Read Full Article PDF

Keywords:

deep vein thrombosis, antithrombotic treatment,intravascular leiomyoma

References

  1. Xu ZF, Yong F, Chen YY, Pan AZ. Uterine intravenous leiomyomatosis with cardiac extension: Imaging characteristics and literature review. World J Clin Oncol. 2013; 4: 25-28. PubMed: https://pubmed.ncbi.nlm.nih.gov/23539071/
  2. Li B, Chen X, Chu YD, Li RY, Li WD, et al. Intracardiac leiomyomatosis: a comprehensive analysis of 194 cases. Interact Cardiovasc Thorac Surg. 2013; 17: 132-138. PubMed: https://pubmed.ncbi.nlm.nih.gov/23563052/
  3. Cruz I, Joao I, Stuart B, Iala M, Bento L, et al. Intravenous leiomyomatosis: a rare cause of intracardiac mass. Rev Port Cardiol. 2014; 33: 735 e731-735. PubMed: https://pubmed.ncbi.nlm.nih.gov/25455948/ 
  4. Kearon C, Akl EA, Ornelas J, Blaivas A, Jimenez D, et al. Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report. Chest. 2016; 149: 315-352. PubMed: https://pubmed.ncbi.nlm.nih.gov/26867832/
  5. Vedantham S, Sista AK, Klein SJ, Nayak L, Razavi MK, et al. Quality improvement guidelines for the treatment of lower-extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol. 2014; 25: 1317-1325. PubMed: https://pubmed.ncbi.nlm.nih.gov/25000825/ 
  6. Caplin DM, Nikolic B, Kalva SP, Ganguli S, Saad WE, et al. Quality improvement guidelines for the performance of inferior vena cava filter placement for the prevention of pulmonary embolism. J Vasc Interv Radiol. 2011; 22: 1499-1506. PubMed: https://pubmed.ncbi.nlm.nih.gov/21890380/
  7. Jaff MR, McMurtry MS, Archer SL, Cushman M, Goldenberg N, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association. Circulation. 2011; 123: 1788-1830. PubMed: https://pubmed.ncbi.nlm.nih.gov/21422387/
  8. Malhotra A, Kishore S, Trost D, Madoff DC, Winokur RS. Inferior Vena Cava Filters and Prevention of Recurrent Pulmonary Embolism. Semin Intervent Radiol. 2018; 35: 105-107. PubMed: https://pubmed.ncbi.nlm.nih.gov/29872245/
  9. Norris HJ, Parmley T. Mesenchymal tumors of the uterus. V. Intravenous leiomyomatosis. A clinical and pathologic study of 14 cases. Cancer. 1975; 36: 2164-2178. PubMed: https://pubmed.ncbi.nlm.nih.gov/1203870/
  10. Tierney WM, Ehrlich CE, Bailey JC, King RD, Roth LM, et al. Intravenous leiomyomatosis of the uterus with extension into the heart. Am J Med. 1980; 69: 471-475. PubMed: https://pubmed.ncbi.nlm.nih.gov/7416191/

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Figure 1

Figure 4

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More