Massive pulmonary embolism in a woman with leiomyomatous uterus causing pelvic deep venous thrombosis

Ann Ital Med Int. 2005 Apr-Jun;20(2):104-7.

Abstract

Deep venous thrombosis (DVT) is a serious illness sometimes causing death due to acute pulmonary thromboembolism (PTE). Blood stasis of the pelvic vein is a major etiologic factor for DVT. Occasionally a large myomatous uterus can cause compression of the pelvic venous system leading to DVT. We describe a very rare case of massive pulmonary embolism in a 39-year-old woman with multiple uterine myomas and no other recognized risk factors for PTE and DVT. The patient was successfully treated with thrombolytic and anticoagulation therapy associated with total hysterectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Female
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Leiomyoma / complications*
  • Leiomyoma / diagnosis
  • Pelvis / blood supply*
  • Pulmonary Embolism / diagnosis
  • Pulmonary Embolism / drug therapy
  • Pulmonary Embolism / etiology*
  • Treatment Outcome
  • Uterine Neoplasms / complications*
  • Uterine Neoplasms / diagnosis
  • Venous Thrombosis / complications*
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / drug therapy
  • Venous Thrombosis / etiology

Substances

  • Anticoagulants
  • Fibrinolytic Agents