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Intravenous leiomyomatosis manifesting as saddle embolism. | LitMetric

AI Article Synopsis

Article Abstract

A 51-year-old, otherwise well woman, presented with progressive severe dyspnoea. CT pulmonary angiogram (CTPA) demonstrated a large filling defect within the right main pulmonary artery with evidence of right heart strain. She was anticoagulated and discharged home; however, was readmitted with progression of symptoms and hypotension within 1 month. Repeat CTPA demonstrated progression of the filling defect. Formal surgical thrombectomy was performed with removal of an unusual cream-coloured, rubber-like material. Histological analysis revealed intravenous leiomyomatosis (IVL). IVL is a rare benign neoplasm, characterised by smooth muscle cell proliferation in vascular structures that can act aggressively. This case describes the workup, recognition and management of IVL.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453327PMC
http://dx.doi.org/10.1136/bcr-2018-228267DOI Listing

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