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Uterine leiomyomatosis with intracardiac extension
  1. Amari T Thompson,
  2. Anant Desai,
  3. Samuel J Ford,
  4. David Gourevitch
  1. Queen Elizabeth Hospital Birmingham, Birmingham, UK
  1. Correspondence to Dr Amari T Thompson, amari.thompson{at}doctors.org.uk

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Description

A 40-year-old woman under investigation for a pelvic mass presented following a syncopal episode. A large fibroid-like pelvic mass and venous thrombus, extending from the left gonadal vein into the inferior vena cava and right atrium, were noted on CT scan (figures 1 and 2). She was referred to the nearest Sarcoma Unit; single-stage excision was planned.

Figure 1

Thrombus extending up inferior vena cava into the right atrium (superior arrow) with large uterine mass (19.5×16.7×13.7 cm) (inferior arrow).

Figure 2

Thrombus extending …

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