Disostruzione cavale per leiomiomatosi

Intravenous leiomyomatosis is a rare benign vascular tumour which originates from the smooth muscle cells, growing and spreading into the pelvic veins of female patients. Frequently, intravenous leiomyomatosis is misdiagnosed and treated without appropriate preoperative imaging. The correct therapy consists of complete excision of the tumour. We report a patient who was treated using ileocaval disobstruction with pelvic leiomyoma ablation, having previously undergone excision of a right atrial neoplasia with tricuspidal valvuloplasty. No evidence of recurrence and patency of the treated vessels have been reported after an 18-month follow-up.