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Leiomyosarcoma: a rare but fatal tumour of the inferior vena cava
  1. Aymen Albaghdadi1,
  2. Mohamed Teleb2,
  3. Chunyen Liu3,
  4. Harsh Agrawal2
  1. 1Internal Medicine, Texas Tech University Health Sciences Center Foster School of Medicine, El Paso, Texas, USA
  2. 2Department of Cardiology, Texas Tech University Health Sciences Center Foster School of Medicine, El Paso, Texas, USA
  3. 3William Beaumont Army Medical Center, El Paso, Texas, USA
  1. Correspondence to Dr Harsh Agrawal, harshagrawal{at}hotmail.com

https://doi.org/10.1136/bcr-2017-220151

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    Description

    Leiomyosarcomas (LMS) of the inferior vena cava (IVC) are a rare entity. Signs and symptoms vary greatly, such as abdominal pain, weight loss/gain, fever, weakness, anorexia or vomiting. CT scan is the imaging modality of choice for evaluation of retroperitoneal LMS, but biopsy is necessary to establish the diagnosis.

    A 62-year-old woman presented with intermittent, diffuse, dull and sharp abdominal pain radiating to the lower back, associated with nausea, bloating and constipation. She also had a 15-pound weight gain in 6 months. Prior work-up did not reveal any acute …

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    Footnotes

    • Contributors AA, MT, CL and HA are responsible for study conception and design and analysis and interpretation of data. AA and MT are responsible for acquisition of data and drafting of the manuscript. CL and HA are responsible for critical revision.

    • Competing interests None declared.

    • Patient consent Consent obtained from next of kin.

    • Provenance and peer review Not commissioned; externally peer reviewed.