title: A case of successful treatment of acute iliofemoral venous thrombosis caused by giant myoma through combination of simultaneous hysterectomy and thrombectomy.
abstract: A 42-year-old woman complained of a sudden swelling and pain in her left lower extremity. Her lower abdomen was distended, and the thrombosis of iliac vein caused by giant myoma was detected by magnetic resonance imaging. A laparotomy was performed under general anesthesia with positive-pressure ventilation, anterior total hysterectomy and thrombectomy of iliofemoral vein simultaneously were performed. A postoperative venography revealed excellent recanalization of iliofemoral vein and she was subsequently discharged from hospital. Her clinical course has been extremely good, with no symptoms of post-thrombotic syndrome for two years.
authors.affiliation: Nippon Medical School Chibahokusoh Hospital, Shock and Trauma Center, Chiba, Japan.
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Kutsukata
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Mashiko
authors.forename: Hisashi
authors.initials: H
authors.lastname: Matsumoto
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Hara
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yokota
keywords: acute iliofemoral venous thrombosis; hysterectomy; uterine myoma; venous thrombectomy
references.citation: Kyobu Geka. 1992 Jul;45(7):631-4
references.pmid: 1619829
references.citation: J Vasc Interv Radiol. 2007 Feb;18(2):243-50
references.pmid: 17327557
references.citation: Minerva Ginecol. 2008 Oct;60(5):451-3
references.pmid: 18854812