SummaryLeiomyosarcoma of the inferior vena cava is a rare primary tumour. We present a case report of a 67‐year‐old man with a long history of abdominal pain and gastroesophageal reflux, who was found to have a large retroperitoneal mass confirmed to be a leiomyosarcoma. The clinical and imaging features are outlined, and in addition the treatment and prognosis.
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