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.
Asciutto
G
G
Department of Vascular Surgery, St. Josef Hospital, Bochum, Germany. giuseppe.asciutto@rub.de
Mumme
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A
Marpe
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B
Hummel
T
T
Asciutto
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KC
Geier
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B
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*