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Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature

Received: 04 May 2017    Accepted: 14 June 2017    Published: 04 July 2017
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Abstract

Intravenous leiomyomatosis (IVL) is a benign smooth muscle tumor which may cause fatal outcome. Furthermore, the clinical manifestations are variable and nonspecific, typically resulting in misdiagnosis. Computerized Tomography (CT) played a vital role in the diagnostic process and pre-surgical assessment. Here we describe one case of IVL extending from the inferior vena cava to the right atrium and ventricle, then review the literature and discuss the imaging findings and clinical manifestation of this tumor. It is suggestive for clinicians to be aware of this condition and highly suspect a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava filling defect or mass shadow to early diagnose and treat.

DOI 10.11648/j.cmr.20170604.14
Published in Clinical Medicine Research (Volume 6, Issue 4, July 2017)
Page(s) 135-138
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Intravenous Leiomyomatosis, Computerized Tomography, Clinical Manifestation

References
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[4] Lee S, Kim DK, Narm KS, Cho SH. Pulmonary artery emboli zation of intravenous leiomyo matosis extending into the right atrium. Korean J Thorac Cardiovasc Surg. 2011; 44 (3): 243-246.
[5] Valdes DV, Conley CR, Stone WM, Collins JM, Magrina JF. Update on intravenous leiomyo matosis: report of five patients and literature review. Eur J Obstet Gynecol Reprod Biol. 2013; 171 (2): 209-213.
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[8] Clay TD, Dimitriou J, McNally OM, Russell PA, Newcomb AE, Wilson AM. Intravenous leiomyo matosis with intracardiac extension- a review of diagnosis and management with an illustrative case. Surg Oncol. 2013; 22 (3): e44-e52.
[9] Matos AP, Ramalho M, Palas J, Heredia V. Heart extension of an intravenous leiomyomatosis. Clin Imaging. 2013; 37 (2): 369-373.
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[11] Barksdale J, Abolhoda A, Saremi F. Intravenous leiomyo matosis presenting as acute Budd-Chiari syndrome. J Vasc Surg. 2011; 54 (3): 860-863.
[12] Nogales FF, Navarro N, Martinez D VJ, Contreras F, Redondo C, Herraiz MA, et al. Uterine intravascular leiomyomatosis: an update and report of seven cases. Int J Gynecol Pathol. 1987; 6 (4): 331 -339.
[13] Magyar E, Salamon F, Tomcsanyi I. Intravascular leiomyo matosis presenting as a right atrial mass. Lege Artis Med. 2007; 17 (10): 694-697.
[14] Gunderson CC, Parsons B, Penaroza S, Peyton MD, Landrum LM. Intravenous leiomyomatosis disguised as a large deep vein thrombosis. J Radiol Case Rep. 2016; 10 (5): 29-35.
[15] Barksdale J, Abolhoda A, Saremi F. Intravenous leiomyoma tosis presenting as acute Budd-Chiari syndrome. J Vasc Surg. 2011; 54 (3): 860-863.
[16] Lu CZ, Cao SS, Wang W, Liu J, Fu N, Lu F. Usefulness of PET/ CT in the diagnosis of recurrent or metastasized differentiated thyroid carcinoma. Oncology letters. 2016; 4 (11): 2420-2423.
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Author Information
  • Department of Gynecology and Obstetrics, the First Af?liated Hospital of Jinan University, Guangzhou, People’s Republic of China

  • Department of Gynecology and Obstetrics, the First Af?liated Hospital of Jinan University, Guangzhou, People’s Republic of China

  • Department of Gynecology and Obstetrics, the First Af?liated Hospital of Jinan University, Guangzhou, People’s Republic of China

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  • APA Style

    Shanrong Shu, Ruiman Li, Xuesong Gao. (2017). Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature. Clinical Medicine Research, 6(4), 135-138. https://doi.org/10.11648/j.cmr.20170604.14

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    ACS Style

    Shanrong Shu; Ruiman Li; Xuesong Gao. Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature. Clin. Med. Res. 2017, 6(4), 135-138. doi: 10.11648/j.cmr.20170604.14

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    AMA Style

    Shanrong Shu, Ruiman Li, Xuesong Gao. Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature. Clin Med Res. 2017;6(4):135-138. doi: 10.11648/j.cmr.20170604.14

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  • @article{10.11648/j.cmr.20170604.14,
      author = {Shanrong Shu and Ruiman Li and Xuesong Gao},
      title = {Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature},
      journal = {Clinical Medicine Research},
      volume = {6},
      number = {4},
      pages = {135-138},
      doi = {10.11648/j.cmr.20170604.14},
      url = {https://doi.org/10.11648/j.cmr.20170604.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20170604.14},
      abstract = {Intravenous leiomyomatosis (IVL) is a benign smooth muscle tumor which may cause fatal outcome. Furthermore, the clinical manifestations are variable and nonspecific, typically resulting in misdiagnosis. Computerized Tomography (CT) played a vital role in the diagnostic process and pre-surgical assessment. Here we describe one case of IVL extending from the inferior vena cava to the right atrium and ventricle, then review the literature and discuss the imaging findings and clinical manifestation of this tumor. It is suggestive for clinicians to be aware of this condition and highly suspect a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava filling defect or mass shadow to early diagnose and treat.},
     year = {2017}
    }
    

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    T1  - Intravascular Leiomyomatosis and the CT Appearance: A Case Report and Review of Literature
    AU  - Shanrong Shu
    AU  - Ruiman Li
    AU  - Xuesong Gao
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    UR  - https://doi.org/10.11648/j.cmr.20170604.14
    AB  - Intravenous leiomyomatosis (IVL) is a benign smooth muscle tumor which may cause fatal outcome. Furthermore, the clinical manifestations are variable and nonspecific, typically resulting in misdiagnosis. Computerized Tomography (CT) played a vital role in the diagnostic process and pre-surgical assessment. Here we describe one case of IVL extending from the inferior vena cava to the right atrium and ventricle, then review the literature and discuss the imaging findings and clinical manifestation of this tumor. It is suggestive for clinicians to be aware of this condition and highly suspect a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava filling defect or mass shadow to early diagnose and treat.
    VL  - 6
    IS  - 4
    ER  - 

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