<- Home <- Arhive <- Vol. 23, Issue 1, March 2015

Rom J Leg Med23(1)25-28(2015)
© Romanian Society of Legal Medicine

Sudden death due to metastasizing intravenous leiomyoma: a case report

F. Milano, F. Borri, E. Bonanno, S. Urso, G. A. Messano, L. T. Marsella

Abstract: Object of the present article is the case of a 43 year-old woman that, about half an hour later experiencing a temporary loss of consciousness during a family trip, suddenly died. There was nothing relevant in the anamnestic data apart that she underwent a similar lipothymic attack three days before. The significative autopsy findings were a thrombotic mass occupying the whole lumen of the inferior vena cava, extending for all the vein length to the heart, and a voluminous uterine neoformation, with intramural extension. Histological investigation revealed a metastasizing intravenous leiomyoma, likely to originate from a pre-existent uterine leiomyoma.
The purpose of this article is to describe such a uncommon metastasizing intravenous leiomyoma case recognized through a joint approach of legal medicine investigations and histopatologic examinations.
Keywords: metastasizing intravenous leiomyoma, sudden death, autopsy, multidisciplinary approach.

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