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Intravenous leiomyomatosis with massive ascites
A M Mullings1, G Char, M P Martin
1Department of Obstetrics and Gynaecology, University of The West Indies, Kingston, Jamaica.
Summary
Intravenous leiomyomatosis with massive ascites is a rare condition. This case report details successful surgical management and highlights the vessel wall origin of the tumor.
Area of Science:
- Gynecologic Oncology
- Pathology
- Surgical Case Reports
Background:
- Intravenous leiomyomatosis (IVL) is a rare neoplastic proliferation of smooth muscle tissue that can extend into the vascular system.
- Massive ascites is an uncommon presentation of IVL, posing diagnostic and therapeutic challenges.
Observation:
- A patient presented with massive ascites secondary to intravenous leiomyomatosis.
- This represents the first documented case of IVL presenting with massive ascites.
Findings:
- The patient underwent subtotal abdominal hysterectomy and bilateral salpingo-oophorectomy for treatment.
- Pathological examination confirmed the tumor's origin within the vessel wall.
Implications:
- This case expands the known clinical spectrum of intravenous leiomyomatosis.
- Successful surgical intervention suggests a viable treatment option for this rare presentation.
- Long-term follow-up is crucial to monitor for recurrence in IVL cases.