Intravascular leiomyoma misdiagnosed as deep vein thrombosis: A case report

Yiheng Zhang, Feng Wen, Z. Liu, Zaiming Lu
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Abstract

Background: Leiomyoma itself is not a rare disease, but it is rarely found intravascularly. Case presentation: A 54-year old female sought medical help after noticing her leg being swelling. A diagnosis of deep vein thrombosis (DVT) was made and antithrombotic treatment was given after her initial imaging exam. Several days later, a contrast CT and sequential pathology revealed the real diagnosis was intravascular leiomyoma. The patient was discharged after a successful surgery. Conclusion: Intravascular leiomyoma should not be confused with DVT.
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血管内平滑肌瘤误诊为深静脉血栓形成1例
背景:平滑肌瘤本身并不是一种罕见的疾病,但很少在血管内发现。病例介绍:一名54岁的女性在发现自己的腿肿胀后寻求医疗帮助。在她的初次影像学检查后,诊断为深静脉血栓形成(DVT),并进行了抗血栓治疗。几天后,对比CT和序列病理显示,真正的诊断是血管内平滑肌瘤。手术成功后病人出院了。结论:血管内平滑肌瘤不应与DVT混淆。
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