Leiomyosarcoma of the inferior vena cava presenting as a left-sided variocele

Abstract

Leiomyosarcomas of the great vessels are rare, but the most common site for them is the inferior vena cava. Due to non-specific clinical signs, diagnosis is usually late. At present, surgery is the treatment of choice. This is a case report of a 44-year-old man who presented with left groin discomfort and a left varicocele which were secondary to leiomyosarcoma of the inferior vena cava.