Intravenous leiomyomatosis extending into the right ventricle after subtotal hysterectomy.
A case of intravenous leiomyomatosis with extension into the right ventricle is described. A tumor in the inferior vena cava was detected three years after a subtotal hysterectomy had been performed for a myomatous uterus but was misdiagnosed as a thrombus. The tumor enlarged and intruded into the right ventricle for which she underwent surgery. The correct diagnosis was made during the surgery, therefore a two-stage resection was planned. Surgical resection is the best treatment for intracardiac extension of intravenous leiomyoma. We recommend iliac venotomy to remove the ilio-caval portion of the tumor in both stages of operations.
Topcuoglu
Mehmet Sah
MS
Cardiovascular Surgery, Medical School, Cukurova University, Adana, Turkey. sahtopcu@yahoo.com
Yaliniz
Hafize
H
Poyrazoglu
Hakan
H
Tokcan
Acar
A
Demir
Süleyman Cansun
SC
Bozkurt
Abdi
A
Zeren
Handan
H
D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000556:secondary; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007084:Iliac Vein / Q000473:pathology* / Q000601:surgery; D018231:Leiomyomatosis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*; D019043:Vascular Neoplasms / Q000556:secondary; D014682:Vena Cava, Inferior / Q000473:pathology* / Q000601:surgery; D020246:Venous Thrombosis / Q000175:diagnosis