Intravenous leiomyomatosis disguised as a large deep vein thrombosis

Authors

  • Camille Catherine Gunderson
  • Blake Parsons
  • Shyla Penaroza
  • Marvin D Peyton
  • Lisa M Landrum

DOI:

https://doi.org/10.3941/jrcr.v10i5.2221

Keywords:

Intravenous leiomyomatosis, leiomyoma, intravascular, intracardiac, inferior vena cava, computed tomography, magnetic resonance

Abstract

Intravenous leiomyomatosis is a benign smooth muscle tumor which despite its histology can have devastating consequences. Furthermore, the clinical manifestations are variable and nonspecific, typically leading to delayed or missed diagnosis. Thus, it is critical for clinicians to be aware of this condition and have a high index of suspicion in a middle-aged woman with a history of uterine leiomyoma presenting with an inferior vena cava mass to enable early diagnosis and treatment. We report a case of a large intravenous leiomyoma which was initially considered to be a very large deep venous thrombosis; with thorough preoperative planning, it was successfully removed intact and in entirety with a single-stage operation.

Author Biographies

Camille Catherine Gunderson

Camille C. Gunderson,, MD
University of Oklahoma
Department of Obstetrics and Gynecology

Blake Parsons

Blake Parsons, DO
University of Oklahoma
Department of Radiology

Shyla Penaroza

Shyla Penaroza, MD
University of Oklahoma
Department of Radiology

Marvin D Peyton

Marvin D. Peyton, MD
University of Oklahoma
Department of Surgery

Lisa M Landrum

Lisa M. Landrum, MD PhD
University of Oklahoma
Department of Obstetrics and Gynecology

Published

2016-05-29

Issue

Section

Obstetric & Gynecologic Radiology