Right heart thrombi in transit (RHThIT)-A rare presentation of uterine leiomyosarcoma.

Mohanty Bijaya, Narain Pandey,

Abstract

Patients with uterine leiomyosarcoma usually present with abnormal or irregular bleeding, vaginal discharges, heaviness of abdomen or pelvic mass. They may present with breathlessness due to anaemia caused by blood loss which is usually taken care of with blood component therapy. Right heart thrombi in transit are an extremely rare presentation of uterine leiomyosarcoma which has to be picked up early because of its aggressive nature and association to high rates of pulmonary embolism & mortality. He we report a case of uterine leiomyosarcoma who presented to us with features of right heart thrombus in transit.