Open AccessIntravenous Leiomyomatosis with Intracardiac Extension as a Rare Cause of Abdominal Pain in an Adult Patient: A Case Report
Author(s) -
Şahhan Kılıç,
Tufan Çınar,
Vedat Çiçek,
Süha Asal,
Murat Selçuk,
Muhammed Keskin,
Mehtap Güner,
Ahmet Turan,
Ahmet Lütfullah Orhan
Publication year - 2022
Publication title -
the journal of tehran university heart center./the journal of tehran university heart center
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 13
eISSN - 2008-2371
pISSN - 1735-8620
DOI - 10.18502/jthc.v16i4.8605
Subject(s) - medicine , intracardiac injection , pericardial effusion , asymptomatic , inferior vena cava , abdominal pain , surgery , leiomyomatosis , radiology , leiomyosarcoma , medical history , leiomyoma
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.