Intravenous Leiomyomatosis with Intracardiac Extension as a Rare Cause of Abdominal Pain in an Adult Patient: A Case Report
Journal of Tehran University Heart Center, cilt.16, sa.4, ss.178-181, 2021 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 16 Sayı: 4
- Basım Tarihi: 2021
- Doi Numarası: 10.18502/jthc.v16i4.8605
- Dergi Adı: Journal of Tehran University Heart Center
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, EMBASE, Directory of Open Access Journals
- Sayfa Sayıları: ss.178-181
- Anahtar Kelimeler: Adult, Cardiac tumor, Leiomyomatosis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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.