Lipomatous tumors of the heart and major central veins are unusual pathologic findings.We report an intravascular lipoma arising directly from the wall of the left common femoral vein (LCFV) in a patient who had progressive left leg swelling and in whom a deep venous thrombosis in the LCFV was initially diagnosed. this is the first case report if such a tumor in the literature. the computed tomography, magnetic resonance imaging, and intraoperative features are presented. the procedure of tumor excision and venous reconstruction with a cadaveric allograft is described.
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