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Case Reports
. 2021 Jun 21;13(6):e15808.
doi: 10.7759/cureus.15808. eCollection 2021 Jun.

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

Yosra Malki  1 , Hatim Lazaar  1 , Tariq Bouhout  1 , Badr Serji  1 , Adnan Benzirar  2 , Tijani El Harroudi  1
Affiliations
Case Reports

Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction

Yosra Malki et al. Cureus. .

Abstract

Leiomyosarcoma of the inferior vena cava is a rare malignant tumor with a poor prognosis. We report a case of a 39-year-old woman admitted for a surgical resection of a retroperitoneal mass revealed by pain localised in the right lumbar fossa. Computed tomography of the abdomen revealed a heterogeneous retroperitoneal mass compressing the inferior vena cava. Surgical resection was performed with the reconstruction of the inferior vena cava using a Dacron prosthesis, the diagnosis of vessel wall leiomyosarcoma was revealed by histopathology. Surgical resection with clear margins remains the only treatment offering the best survival rate. The complex nature of the surgery of those tumors is a major therapeutic challenge for surgeons.

Keywords: dacron graft; infrarenal vena cava; leiomyosarcoma; surgical resection; vena cava reconstruction.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Axial CT of the abdomen reveals a retroperitoneal mass enclosing the inferior vena cava.
Figure 2
Figure 2. Intraoperative photograph showing the tumor arising from the vena cava.
Figure 3
Figure 3. Image showing the infrarenal vena cava clamped after the tumor was removed.
Figure 4
Figure 4. Vascular reconstruction using Dacron graft.
See this image and copyright information in PMC

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