Start Submission Become a Reviewer

Reading: Lower extremity deep venous thrombosis and pulmonary embolism associated with an uterine lei...

Download

A- A+
Alt. Display

Case Reports

Lower extremity deep venous thrombosis and pulmonary embolism associated with an uterine leiomyoma

Authors:

S. Raguramana ,

Wexham Park Hospital, Frimley Health NHS, GB
About S.
Speciality Registrar, Obstetrics and Gynaecology,
X close

V. Vathanan

Wexham Park Hospital, Frimley Health NHS, GB
About V.
Consultant, Obstetrician and Gynaecologist
X close

Abstract

Deep venous thrombosis (DVT) and pulmonary embolism (PE) are rare and life-threatening complications caused by compression of inferior vena cava (IVC) and pelvic veins by large leiomyoma of the uterus. We report a 54-year-old woman presented to the Accident and Emergency (A & E) department with complaints of left leg swelling, pain and shortness of breath. She had a history of heavy menstrual bleeding and treated with oral progesterone. Her examination revealed tachypnea and 24-week size abdominopelvic mass. Imaging investigations confirmed DVT in left iliofemoral vein and PE. MRI pelvis showed a uterus containing a large intramural fundal fibroid, compressing the IVC, common iliac veins and the right ureter. The patient successfully treated by anticoagulation therapy and delayed hysterectomy. DVT and PE are life-threatening and rare complications of leiomyoma. Early diagnosis, intense monitoring, appropriate treatment for DVT, PE and timely intervention of leiomyoma are vital elements for optimal management and outcome.
How to Cite: Raguramana, S. and Vathanan, V., 2020. Lower extremity deep venous thrombosis and pulmonary embolism associated with an uterine leiomyoma. Sri Lanka Journal of Obstetrics and Gynaecology, 42(1), pp.32–35. DOI: http://doi.org/10.4038/sljog.v42i1.7931
Published on 02 Jun 2020.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus