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. 2020 Sep 18;9(1):e40–e43. doi: 10.1055/s-0040-1715183

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 1 — ( A ) A CT (computed tomography) scan from case A is shown. The volume of the uterus is significantly enlarged and complicated with multiple uterine fibroids. Multiple masses are extending into the right ovarian vein and the inferior vena cava (IVC) and right atrium (RA). An enhanced vascular shadow can be seen in the lesion ( green arrow ). ( B ) A magnetic resonance imaging (MRI) from case B shows multiple uterine fibroids. The tumor extends from the IVC to the RA. The tumor could be observed moving with the movement of the RA. The distal portion of the tumor traverses the tricuspid valve into the RV during diastole. ( C ) The MRI from case C indicates a large, multilobulated, complex pelvic mass closely related to the uterus. The uterus deviates left due to pressure. The mass extends from the right internal iliac vein and the common iliac vein and extends into the IVC and RA ( red arrow ); RV (brown arrow); mass (pink arrow); IVC (yellow arrow); Right ovarian vein (blue arrow); Right common iliac vein (white arrow); Left common iliac vein (orange arrow); Right internal iliac vein (purple arrow); Uterine fibroids (black arrow).