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- Title
Intravenous Leiomyomatosis with Intracardiac Extension as a Rare Cause of Abdominal Pain in an Adult Patient: A Case Report.
- Authors
Kılıç, Şahhan; Çınar, Tufan; Çiçek, Vedat; Asal, Suha; Selçuk, Murat; Keskin, Muhammed; Güner, Mehtap; Turan, Ahmet; Orhan, Ahmet Lütfullah
- Abstract
Intravenous leiomyomatosis (IVL) is a rare and benign smooth muscle tumor that arises from intrauterine venules or the myometrium. We herein describe a 49-year-old woman with a history of myomectomy who developed abdominal pain. An intravascular mass with extension to the right atrium was detected in the inferior vena cava. The mass was surgically resected in a single stage under cardiopulmonary bypass. IVL features were indicated by subsequent histopathology. Postoperatively, the patient was diagnosed with massive pericardial effusion and treated with a pericardial window. At 3 months' outpatient clinical follow-up, she was asymptomatic. This case indicates that the diagnosis of IVL with extension to the heart should be kept in mind in patients presenting with abdominal pain.
- Subjects
HEART tumors; MUSCLE cells; PERICARDIAL effusion; UTERINE fibroids; CANCER; PERICARDIUM surgery; ABDOMINAL pain; VENA cava inferior; CARDIOPULMONARY bypass; RARE diseases; RIGHT heart atrium
- Publication
Journal of Tehran University Heart Center, 2021, Vol 16, Issue 4, p178
- ISSN
1735-8620
- Publication type
Article