Computed tomography angiography and histopathological findings of intravascular leiomyomatosis: A case report

Abstract

We describe the computed tomography angiography and histopathological features of intravenous leiomyomatosis, and discuss the patient outcome and complications associated with this condition.A 51-year-old woman with a history of atrial flutter presented to the emergency department with sudden onset of palpitations. Computed tomography angiography of the thorax and abdomen was requested, which revealed a tumor involving the right atrium, inferior vena cava, and bilateral iliac veins. Ten years ago, she had undergone hysterectomy for the removal of uterine leiomyomas. Surgery was performed to resect the intravascular and intracardiac tumor and was sent for histopathological analysis, which confirmed the diagnosis of intravenous leiomyomatosis.

Keywords

• Intravascular tumor
• Uterine tube
• Adipose tissue
• Fibroconnective tissue
• Iliac veins