Available online 26 March 2024

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A 38-year-old woman was admitted to the hospital with chronic abdominal pain and irregular vaginal bleeding. She had undergone a myomectomy more than 10 months earlier. Abdominal computerized tomography angiography (CTA) revealed cord-like thickening in the inferior vena cava.The inferior vena cava is dilated(Fig. 1A),and the vein wall was thickened in a cable-like and nodular manner, extending to the proximal segment of the internal and external iliac veins in the right common iliac (Fig. 1

Consent for publication

Written and fully informed consent was obtained from the patient for publication of this"Online Images in the Medical Education" article.

Conflicts of interest

The author has no financial or other conflicts of interest to disclose.

Funding

No funding was received for this study.

Author contributions

Dong-Qin Dai, Shuang-Lu Wang, Dan Xiao : writing of case, literature review, formatting of document, provision of clinical photograph. Zhi-Cheng Huang:revising the manuscript, analysis of CT.Guang-Cai Tang: analysis of CT, revising the manuscript, and final approval.

Ethical approval and consent to participate

The present study was approved by the Ethics Committee of Affiliated Hospital of Southwest Medical University

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© 2024 Published by Elsevier Inc. on behalf of Southern Society for Clinical Investigation.