Intravenous Leiomyomatosis with Intracardiac Extension as a Rare Cause of Abdominal Pain in an Adult Patient: A Case Report

Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 16 4 2021 10 26 Intravenous Leiomyomatosis with Intracardiac Extension as a Rare Cause of Abdominal Pain in an Adult Patient: A Case Report 178 181 Şahhan Kılıç Haydarpasa Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey. Tufan Çınar Haydarpasa Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey. Vedat Çiçek Haydarpasa Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey. Suha Asal Haydarpasa Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey. Murat Selçuk Haydarpasa Sultan Abdülhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey. Muhammed Keskin Health Sciences University, Sultan II. Abdülhamid Han Training and Research Hospital, Department of Cardiology, Istanbul, Turkey Mehtap Güner Health Sciences University, Sultan 2.Abdülhamid Han Training and Research Hospital, Department of Pathology, Istanbul, Turkey Ahmet Turan Health Sciences University, Sultan 2.Abdülhamid Han Training and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey Ahmet Orhan Health Sciences University, Sultan II. Abdülhamid Han Training and Research Hospital, Department of Cardiology, Istanbul, Turkey 2021 03 15 2022 01 01 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. https://rhythm.tums.ac.ir/index.php/jthc/article/view/1437 https://rhythm.tums.ac.ir/index.php/jthc/article/download/1437/990