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We provide the actual situation of a 31-year-old feminine patient with a previous reputation for pelvic pain and dysmenorrhea, whoever ultrasound showed an enlarged and heterogeneous womb. Complete hysterectomy had been performed, and also the anatomopathological assessment showed leiomyomas without proof of malignancy. 30 days later, the in-patient manifested dyspnea and upper body pain. A neoplastic thrombus ended up being identified, expanding from the inferior vena cava off to the ri
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