标题：Computed tomography evaluation of extensive intravenous angioleiomyoma: a case report
作者：Sun, Rui; Guan, Hongwei; Li, Hui; Bai, Yixuan; Wang, Fei; Li, Changzhong
作者机构：[Sun, Rui; Guan, Hongwei; Bai, Yixuan; Wang, Fei; Li, Changzhong] Shandong Univ, Shandong Prov Hosp, Dept Obstet & Gynecol, 324 Jingwu Rd, Jinan 25002 更多
通讯作者地址：[Wang, F]Shandong Univ, Shandong Prov Hosp, Dept Obstet & Gynecol, 324 Jingwu Rd, Jinan 250021, Shandong, Peoples R China.
来源：BMC MEDICAL IMAGING
关键词：Three-dimensional CT reconstruction; Volume rendering reconstructions;; Uterine angioleiomyoma; Intravenous leiomyomatosis; Surgery
摘要：Background Uterine angioleiomyoma is a rare variant of leiomyoma, and the main therapy is complete surgery. This study introduces the benefit of three-dimensional computed tomography reconstruction for preoperative preparation. Case presentation A 50-year-old woman presented because of chest distress after activity, with worsening symptoms. After examination, the final diagnosis was uterine angioleiomyoma. The tumour originated in the uterus; grew into the right iliac vein; coursed along the iliac vein, inferior vena cava, and right atrium; and finally invaded the right ventricle. To best complete the surgery, a multidisciplinary surgery was selected. Before the surgery, a three-dimensional computed tomography reconstruction model was created to assess the tumour status, and this model enabled the surgery to be completed successfully. Conclusion Three-dimensional computed tomography reconstruction is of great significance for the preoperative diagnosis of uterine angioleiomyoma and the formulation of surgical treatment plans. Based on its vivid images, surgeons can perform operations more effectively and safely.