case_images: PMC10482015_01
case_images: Axial and coronal section of CECT of the abdomen. The thick arrow shows IVL in the IVC. The red arrow shows the uterine leiomyoma. The blue arrow shows an enlarged ovarian vein with an IVL thrombus inside. CECT: Contrast-enhanced computed tomography, IVL: Intravenous leiomyomatosis, IVC: Inferior vena cava
case_images: JMH-14-53-g001.jpg
case_images: PMC10482015_01_JMH-14-53-g001.jpg
case_images: jmh_47_23-f001
case_images: There was a right ovarian vein thrombus extending to the IVC and right atrium [Figure 1].
case_images: (a) Gross specimen of TAH BSO, (b) IVL. IVL: Intravenous leiomyomatosis, TAH BSO: Total abdominal hysterectomy bilateral salpingo-oophorectomy
case_images: JMH-14-53-g002.jpg
case_images: PMC10482015_01_JMH-14-53-g002.jpg
case_images: jmh_47_23-f002
case_images: There were two limbs for the thrombus both arising from the tumor, one was through the right ovarian vein, and the other limb was arising from the same mass but through the iliac vein and both joined inside the IVC and reached atria [Figure 2].
case_images: Histopathology specimen of IVL. H and E, x40, shows elongated spindle tumor cells invaginating the vascular channels with no evidence of atypia. IVL: Intravenous leiomyomatosis
case_images: JMH-14-53-g003.jpg
case_images: PMC10482015_01_JMH-14-53-g003.jpg
case_images: jmh_47_23-f003
case_images: Histopathological diagnosis of the specimen was leiomyoma - suberous,broad ligament and left paraovarian with extensive hydropic change and intravenous extension [Figure 3].