Primary Iliac Venous Leiomyosarcoma: A Rare Cause of Deep Vein Thrombosis in a Young Patient release_fa2zq7oipfgthirhb5njzd3urm

by Nelson Oliveira, Emanuel Dias, Ricardo Lima, Fernando Oliveira, Isabel Cássio

Published in Case Reports in Medicine by Hindawi Limited.

2011   Volume 2011, p1-5

Abstract

<jats:italic>Introduction</jats:italic>. Primary venous tumours are a rare cause of deep vein thrombosis. The authors present a case where the definitive diagnosis was delayed by inconclusive complementary imaging.<jats:italic>Clinical Case</jats:italic>. A thirty-seven-year-old female presented with an iliofemoral venous thrombosis of the right lower limb. The patient had presented with an episode of femoral-popliteal vein thrombosis five months before and was currently under anticoagulation.<jats:italic>Phlegmasia alba dolens</jats:italic>installed progressively, as thrombus rapidly extended to the inferior vena cava despite systemic thrombolysis and anticoagulation. Diagnostic imaging failed to identify the underlying aetiology of the deep vein thrombosis. The definitive diagnosis of primary venous leiomyosarcoma was reached by a subcutaneous abdominal wall nodule biopsy.<jats:italic>Conclusion</jats:italic>. Primary venous leiomyosarcoma of the iliac vein is a rare cause of deep vein thrombosis, which must be considered in young patients with recurrent or refractory to treatment deep vein thrombosis.
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Type  article-journal
Stage   published
Year   2011
Language   en ?
DOI  10.1155/2011/123041
PubMed  21738532
PMC  PMC3124135
Wikidata  Q35070947
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ISSN-L:  1687-9635
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