Extrapelvic intravenous uterine leiomyomatosis mimicing cardiac myxoma and deep vein thrombosis

Elif Coşkun Sungur

doi:10.5606/tgkdc.dergisi.2022.22864

Elif Coşkun Sungur¹, İlker Selçuk², Hamdi Mehmet Özbek⁴, Okan Aytekin², Nimet Öge Köklü³, Nesrin Turhan³, Süreyya Talay⁵, Ahmet Sarıtaş¹, Hakan Raşit Yalçın²

¹Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Türkiye
²Department of Gynecologic Oncology, Ankara City Hospital, Ankara, Türkiye
³Department of Pathology, Ankara City Hospital, Ankara, Türkiye
⁴Department of Cardiovascular Surgery, Niğde Ömer Halisdemir University Training and Research Hospital, Niğde, Türkiye
⁵Department of Cardiovascular Surgery, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye

DOI : 10.5606/tgkdc.dergisi.2022.22864

Extrapelvic intravenous uterine leiomyomatosis is a rare smooth muscle neoplasm. Uterine leiomyomatosis is a histologically benign pathology. Rarely, it can be confused with a cardiac mass. A 44-year-old female patient was admitted with increasing severity of pain and swelling in both legs for the past week. The patient was initially diagnosed with bilateral deep vein thrombosis. After further evaluation, we decided that the patient had cardiac myxoma. However, we intraoperatively observed that the lesion in the right atrium was arising from the inferior vena cava. In the final postoperative histopathological evaluation, the definite diagnosis was extrapelvic intravenous leiomyomatosis. The patient was discharged uneventfully following her second operation.

Keywords : Intracardiac leiomyomatosis/leiomyoma, intravenous leiomyomatosis/leiomyoma, myxoma

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