Deep venous thrombosis in a patient with large uterine myomata. Case report.
A 42-year-old woman was admitted with a painful swelling of the left lower limb. Computed tomography revealed an inhomogenous uterine enlargement due to multiple myomata producing a thrombotic occlusion of the left iliac veins. Surgical treatment consisted of isolated hysterectomy. During the same operation, transfemoral thrombectomy and stent implantation in the iliac vein were performed. Hysto-logic examination revealed numerous leiomyomata as well as an endometriosis. The patient recovered well and is pain-free six months after surgery. The deep venous system is still patent at follow-up. Uterine myomata rarely cause acute iliac vein thrombosis due to direct compression. This case represents an example of successful therapy using an interdisciplinary approach.
Department of Vascular Surgery, St. Josef Hospital, Bochum, Germany. giuseppe.asciutto@rub.de
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D000328:Adult; D005260:Female; D006801:Humans; D007084:Iliac Vein; D007889:Leiomyoma / Q000150:complications*; D009360:Neoplastic Cells, Circulating; D014594:Uterine Neoplasms / Q000150:complications*; D020246:Venous Thrombosis / Q000209:etiology*