Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature
Introduction. Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of intravenous leiomyoma extending to the right atrium, diagnosed in a patient having leiomyoma. Case Presentation. A 39-year-old woman with no symptoms and a past medical histor...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2013/602407 |
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| author | Fuat Demirkiran Veysel Sal Umit Kaya Cem Alhan Nedim Tokgozoglu |
| author_facet | Fuat Demirkiran Veysel Sal Umit Kaya Cem Alhan Nedim Tokgozoglu |
| author_sort | Fuat Demirkiran |
| collection | DOAJ |
| description | Introduction. Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of intravenous leiomyoma extending to the right atrium, diagnosed in a patient having leiomyoma. Case Presentation. A 39-year-old woman with no symptoms and a past medical history of two myomectomy operations (7 and 3 years previously) was admitted to our clinic for routine control. We detected a uterine fibroid of 8 centimeters and 4 small solid masses of 1-2 centimeters near the uterus and ovaries at vaginal ultrasonography. Computed tomography (CT) was performed to investigate the abdominal cavity. It revealed a mass originating from the left common iliac vein, which invaded the inferior vena cava (IVC) and extended to the right atrium in addition to the uterine fibroids and pelvic masses. The operation was performed with a combined team of gynecologists and cardiac surgeons and a one-stage operation was accomplished. The postoperative course was uneventful. Conclusion. Abdominal CT is a useful imaging technique for the diagnosis of unusual pathology in a patient with uterine fibroid having suspicious pelvic masses. Also, when a right atrial mass is identified in a female with a prior history of hysterectomy because of leiomyoma or in whom there is a uterine myoma, then intravenous leiomyomatosis should be considered. |
| format | Article |
| id | doaj-art-ae0cff05176145a0aba43300e2d3a3f8 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-ae0cff05176145a0aba43300e2d3a3f82025-02-03T05:43:53ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/602407602407Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the LiteratureFuat Demirkiran0Veysel Sal1Umit Kaya2Cem Alhan3Nedim Tokgozoglu4Division of Gynecologic Oncology, Department of Gynecology and Obstetrics, Cerrahpasa Medical Faculty, Istanbul University, 34303 Istanbul, TurkeyDivision of Gynecologic Oncology, Department of Gynecology and Obstetrics, Cerrahpasa Medical Faculty, Istanbul University, 34303 Istanbul, TurkeyObstetrics and Gynecology Department, Acıbadem Kadıkoy Hospital, Istanbul, TurkeyCardiovascular Surgery Department, Acıbadem Kadıkoy Hospital, Istanbul, TurkeyDivision of Gynecologic Oncology, Department of Gynecology and Obstetrics, Cerrahpasa Medical Faculty, Istanbul University, 34303 Istanbul, TurkeyIntroduction. Intravenous leiomyomatosis with cardiac extension is an extremely rare uterine tumor. We report here a case of intravenous leiomyoma extending to the right atrium, diagnosed in a patient having leiomyoma. Case Presentation. A 39-year-old woman with no symptoms and a past medical history of two myomectomy operations (7 and 3 years previously) was admitted to our clinic for routine control. We detected a uterine fibroid of 8 centimeters and 4 small solid masses of 1-2 centimeters near the uterus and ovaries at vaginal ultrasonography. Computed tomography (CT) was performed to investigate the abdominal cavity. It revealed a mass originating from the left common iliac vein, which invaded the inferior vena cava (IVC) and extended to the right atrium in addition to the uterine fibroids and pelvic masses. The operation was performed with a combined team of gynecologists and cardiac surgeons and a one-stage operation was accomplished. The postoperative course was uneventful. Conclusion. Abdominal CT is a useful imaging technique for the diagnosis of unusual pathology in a patient with uterine fibroid having suspicious pelvic masses. Also, when a right atrial mass is identified in a female with a prior history of hysterectomy because of leiomyoma or in whom there is a uterine myoma, then intravenous leiomyomatosis should be considered.http://dx.doi.org/10.1155/2013/602407 |
| spellingShingle | Fuat Demirkiran Veysel Sal Umit Kaya Cem Alhan Nedim Tokgozoglu Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature Case Reports in Obstetrics and Gynecology |
| title | Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature |
| title_full | Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature |
| title_fullStr | Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature |
| title_full_unstemmed | Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature |
| title_short | Intravenous Leiomyoma with Extension to the Heart: A Case Report and Review of the Literature |
| title_sort | intravenous leiomyoma with extension to the heart a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2013/602407 |
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