Background: Leiomyoma itself is not a rare disease, but it is rarely found intravascularly.
Case presentation: A 54-year old female sought medical help after noticing her leg being swelling. A diagnosis of deep vein thrombosis (DVT) was made and antithrombotic treatment was given after her initial imaging exam. Several days later, a contrast CT and sequential pathology revealed the real diagnosis was intravascular leiomyoma. The patient was discharged after a successful surgery.
Conclusion: Intravascular leiomyoma should not be confused with DVT.
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