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Single-stage inferior vena caval intravenous leiomyomatosis excision
  1. Karthigesu Aimanan1,2,
  2. Kean Leong Koay2,
  3. Firdaus Hayati1,3 and
  4. Hafizan Mohd Tajri2
  1. 1Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Surgery, Hospital Serdang, Kajang, Selangor, Malaysia
  3. 3Department of Surgery, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Karthigesu Aimanan; karthi_abim{at}


Intravascular tumour extension can occur in many different types of cancer. Those with the highest tendency include renal cell carcinoma, adrenal cortical carcinoma and hepatocellular carcinoma. Inferior vena cava (IVC) tumour thrombus in gynaecological malignancy is rarely reported. We present a report on a female patient with extensive IVC tumour thrombus (intravenous leiomyomatosis) with concurrent intrauterine leiomyomatosis. She underwent a single-stage procedure, involving laparotomy and a sternotomy to remove her pelvic tumour, as well as the intracaval and intracardiac thrombus. The clinical presentation and management of this rare tumour will be detailed in this case report.

  • Vascular surgery
  • Cardiothoracic surgery

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  • Contributors KA involved in conception and design collection and assembly of data; drafting of the article and final approval of the article. KLK involved in conception and design; critical revision of the article for important intellectual content and final approval of the article. FH involved in conception and design; collection and assembly of data and final approval of the article. HT involved in important intellectual content and final approval of the article.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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