Massive pulmonary embolism in a woman with leiomyomatous uterus causing pelvic deep venous thrombosis.
Deep venous thrombosis (DVT) is a serious illness sometimes causing death due to acute pulmonary thromboembolism (PTE). Blood stasis of the pelvic vein is a major etiologic factor for DVT. Occasionally a large myomatous uterus can cause compression of the pelvic venous system leading to DVT. We describe a very rare case of massive pulmonary embolism in a 39-year-old woman with multiple uterine myomas and no other recognized risk factors for PTE and DVT. The patient was successfully treated with thrombolytic and anticoagulation therapy associated with total hysterectomy.
Falcone
Marco
M
III Clinica Medica, Cattedra di Medicina Interna III, Università degli Studi "La Sapienza", Policlinico Umberto I di Roma. marcofalc@libero.it
Serra
Pietro
P
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis; D010388:Pelvis / Q000098:blood supply*; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications* / Q000175:diagnosis; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
D000925:Anticoagulants; D005343:Fibrinolytic Agents