Sudden death due to metastasizing intravenous leiomyoma: A case report

Object of the resent article is the case of a 43 year-old woman that, about half an hour later ex eriencing a tem orary loss of consciousness during a family tri, suddenly died. There was nothing relevant in the anamnestic data a art that she underwent a similar li othymic attack three days before. The significative auto sy findings were a thrombotic mass occu ying 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 re-existent uterine leiomyoma. The ur ose of this article is to describe such a uncommon metastasizing intravenous leiomyoma case recognized through a joint a roach of legal medicine investigations and histo atologic examinations.