Extensive iliac vein thrombosis as a rare complication of a uterine leiomyoma: a case report.
BACKGROUND
Lower leg thombosis can occur in association with a large uterine leiomyoma.


METHODS
We report a case of extensive lower extremity thromboembolic disease secondary to large uterine myomas. The patient presented with sudden onset of lower extremity swelling in the absence of risk factors for thrombosis. Workup revealed extensive thrombosis involving iliac, femoral, popliteal, posterior tibial and peroneal veins secondary to vena caval compression by large uterine fibroids. Hysterectomy was performed after vena caval filter placement.


CONCLUSIONS
In women with large uterine leiomyomas, the preoperative workup should include testing to rule out potential asymptomatic thrombi.
Khilanani
Rubina
R
Division of Urogynecology, Department of Obstetrics and Gynecology, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA.
Dandolu
Vani
V
D000328:Adult; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000473:pathology; D007889:Leiomyoma / Q000150:complications*; D014594:Uterine Neoplasms / Q000150:complications*; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000209:etiology* / Q000628:therapy