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Unexpected inferior vena cava syndrome: leiomyosarcoma
  1. Raquel Oliveira1,
  2. Verena Pires2,
  3. Cristiane Macedo1 and
  4. Joana Madeira3
  1. 1Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  2. 2Department of Radiology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  3. 3Department of Pathology, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal
  1. Correspondence to Dr Raquel Oliveira; raqueloliv94{at}gmail.com

Abstract

Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology.

  • oncology
  • radiology
  • interventional radiology
  • palliative procedures

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Footnotes

  • Contributors RO made a substantial contribution to the conception of the work, acquisition and interpretation of data, drafting and revising the work. VP made a substantial contribution to the conception of the work, acquisition and interpretation of data and revising the work. CM made a substantial contribution to the acquisition and interpretation of data. JM made a substantial contribution to the acquisition and interpretation of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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