A Rare Case of an Uterine Intravenous Leiomyomatosis

Abstract

Intravenous leiomyomatosis is a rare benign neoplasm originating from smooth muscle cells. Although histopathologically benign, its behavior may be aggressive and fatal outcomes can occur. However, it is very difficult to diagnose this entity, and intravenous leiomyomatosis is usually only suspected intraoperatively or after pathological analysis. In this article, we presented an interesting case of intravenous leiomyomatosis who was diagnosed intraoperatively and complicated with massive bleeding. Subsequent histopathological and immunohistochemical examination confirmed the diagnosis as intravenous leiomyomatosis.