title: Menorrhagia and adenomyosis in a patient with hyperhomocysteinemia, recurrent pelvic vein thromboses and extensive uterine collateral circulation treatment by supracervical hysterectomy.
abstract: A 37-year-old patient had recurring thromboses, occlusion of the left femoral vein with hereditary hyperhomocysteinemia, hypermenorrhea and anaemia. Conservative therapy with endometrium ablation and gestagene failed. A supracervical hysterectomy was done to preserve the presacral and left lateral, dorsal and caudal collaterals beside the uterus, and prevent a postoperative congestion, especially of the left leg.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Cologne, Kerpener Str. 34, 50931 Cologne, Germany. frank.nawroth@medizin.uni-koeln.de
authors.forename: F
authors.initials: F
authors.lastname: Nawroth
authors.forename: T
authors.initials: T
authors.lastname: Schmidt
authors.forename: D
authors.initials: D
authors.lastname: Foth
authors.forename: P
authors.initials: P
authors.lastname: Landwehr
authors.forename: T
authors.initials: T
authors.lastname: Römer
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D020138:Hyperhomocysteinemia / Q000150:complications* / Q000235:genetics; D007044:Hysterectomy / Q000379:methods*; D007813:Laparotomy; D008595:Menorrhagia / Q000601:surgery*; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*; D020246:Venous Thrombosis / Q000150:complications*