Case Report

A case of leiomyosarcoma of the ovarian vein with obstructive uropathy and hepatic metastasis

Sanjay M. Khaladkar, Tejvir Singh, Karthik Mohanan, Rajesh Kuber, Satvik Dhirawani
South African Journal of Radiology | Vol 26, No 1 | a2501 | DOI: https://doi.org/10.4102/sajr.v26i1.2501 | © 2022 Sanjay M. Khaladkar, Tejvir Singh, Karthik Mohanan, Rajesh Kuber, Satvik Dhirawani | This work is licensed under CC Attribution 4.0
Submitted: 22 June 2022 | Published: 28 October 2022

About the author(s)

Sanjay M. Khaladkar, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India
Tejvir Singh, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India
Karthik Mohanan, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India
Rajesh Kuber, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India
Satvik Dhirawani, Department of Radiodiagnosis, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, India


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Abstract

Leiomyosarcoma (LMS) is a smooth muscle-derived malignant mesenchymal tumour. Primary LMS arising from the ovarian vein is uncommon. A 51-year-old female presented with left loin pain and was diagnosed with a LMS arising from the gonadal vein. The patient refused any treatment. Early detection and timely diagnosis of retroperitoneal masses will improve the prognosis and survival rate in these patients. CT imaging plays an important role in diagnosis.

Contribution: Retroperitoneal leiomyosarcoma of vascular origin is a rare entity. CT plays crucial role in diagnosing them by demonstrating the extent of the tumor along the gonadal vein. Early detection and timely diagnosis of retroperitoneal masses will improve the prognosis and survival rate in these patients.


Keywords

leiomyosarcoma; gonadal vein; ovarian vein; retroperitoneal mass; vascular origin; claw sign; obstructive uropathy; hepatic metastasis.

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