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. 2019 Jul 31;13(7):1–13. doi: 10.3941/jrcr.v13i7.3607

Table 3.

A 48-year-old woman with uterine intravenous leiomyomatosis and intracardiac extension - Clinical case timeline.

Past medical history: multiple uterine myomectomies Two years before
Presenting Symptoms: progressive dyspnea, palpitations, metrorrhagia, generalized pelvic pain, and bilateral leg edema) Day 1
Physical Examination: tachypnea, bilateral mild pitting edema of the lower legs, and jugular venous distension) Day 1
Diagnostic Evaluation: chest X-ray, Doppler transthoracic echocardiography, color-Doppler Ultrasound of the abdomen, chest-abdomen-pelvis Computed Tomography Day 1
Diagnosis: pelvic mass extending into the right iliac vein and ascending trough the inferior vena cava to the right heart and causing pulmonary embolism Day 1
First-stage surgical procedure Day 2
Uterine artery embolization Day 18
IVC filter placement Day 22
Second-stage surgery Day 35
IVC filter removal Day 54
Discharge Day 59
Follow up: the patient showed no evidence of disease recurrence two years after