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Vol 23, No 1 (2017)
Case report
Published online: 2017-05-12

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Rare presentation of a benign smooth muscle tumour of venous wall

Tomasz Brzezinski, Marcin Oseka, Maciej Skorski
Acta Angiologica 2017;23(1):17-19.

Abstract

Deep veins thrombosis is commonly encountered in clinical practice. The reasons and risk factors are well known. Unusual conditions leading to complete obstruction of larger veins are rarely anticipated. A 34-years-old woman was treated in our hospital because of segmental thrombosis of her right common femoral vein. Color duplex Doppler revealed a solitary thrombus 5 centimeters in lengths narrowing it by 80–90%. During emergency operation a small tumour in the orifice of greater saphenous vein was found with adhering thrombus. Segmental thrombosis of large vein can be connected with an occult underlying pathology. Color duplex Doppler alone does not allow complete evaluation of such problems.

References

  1. Grimer RJ, Armstrong GR. Intra-vascular leiomyoma of the popliteal vein. Postgrad Med J. 1988; 64(749): 247–248.
  2. Le Minh T, Cazaban D, Michaud J, et al. Great saphenous vein leiomyosarcoma: a rare malignant tumor of the extremity--two case reports. Ann Vasc Surg. 2004; 18(2): 234–236.
  3. Reix T, Sevestre H, Sevestri-Pietri MA, et al. Primary malignant tumors of the venous system in the lower extremities. Ann Vasc Surg. 1998; 12(6): 589–596.
  4. Dellaportas D, Kotsis T, Carvounis E, et al. Leiomyoma of the greater saphenous vein mimicking inguinal lymphadenopathy. Case Rep Surg. 2013; 2013: 237391.
  5. Gagné-Loranger M, Lacombe L, Pouliot F, et al. Renal cell carcinoma with thrombus extending to the hepatic veins or right atrium: operative strategies based on 41 consecutive patients. Eur J Cardiothorac Surg. 2016; 50(2): 317–321.