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CASE REPORTS
Minerva Ginecologica 2008 October;60(5):451-3
Copyright © 2008 EDIZIONI MINERVA MEDICA
language: English
Deep venous thrombosis in a patient with large uterine myomata. Case report
Asciutto G. 1, Mumme A. 1, Marpe B. 1, Hummel T. 1, Asciutto K. C. 2, Geier B. 1
1 Department of Vascular Surgery, St. Josef Hospital, Bochum, Germany 2 Department of Gynecology, Augusta-Kranken-Anstalt, Bochum, Germany
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.