Document Detail


Large uterine fibroids causing mechanical obstruction of the inferior vena cava and subsequent thrombosis: a case report.
MedLine Citation:
PMID:  17038579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 35-year-old woman presented with severe left leg swelling and pain after a spontaneous abortion of a 20-week fetus. Duplex ultrasound imaging confirmed venous thrombosis of the left iliac, common femoral, superficial femoral, deep femoral, greater saphenous, posterior tibial, and popliteal, peroneal, and soleal veins. A computed tomography scan showed large uterine fibroids that were completely compressing the distal inferior vena cava and both ureters, with associated hydronephrosis. A magnetic resonance venography showed the inferior vena cava proximal to the mechanical obstruction was free of thrombosis but was dilated at 27 mm in the suprarenal location. A hysterectomy was performed and an 8-pound uterus was removed. Intraoperative ultrasound of the inferior vena cava showed a patent crescent shaped vein with no thrombus and adequate venous blood flow. Pathology of the uterus showed a large leiomyoma with necrosis. Her lower extremity symptoms resolved.
Authors:
Jenny Hawes; Joann Lohr; Barry Blum; Anant Bhati; Jayapandia Bhaskaran; Amy Engel
Related Documents :
7417029 - Effects of different filter positions and combinations in extracorporeal circulation.
10709839 - Narrowing of the upper abdominal inferior vena cava in patients with elevated intraabdo...
21042449 - Case report: completely unroofed coronary sinus with a left superior vena cava draining...
17334479 - Radiological evidence of double inferior vena cava in a young adult male.
2288749 - Hepato-atrial anastomosis as emergency treatment for traumatic rupture of suprahepatic ...
157499 - Clinical implications of the convex supradiaphragmatic inferior vena cava.
2104559 - Thrombocytopenic purpura in a patient with lupus anticoagulant: requirement of both imm...
12826289 - Surgical sealant in the prevention of early vein graft injury in an ex vivo model.
21215589 - Use of autogenous internal iliac artery for bridging the external iliac artery after ex...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  40     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2006 Oct-Nov
Date Detail:
Created Date:  2006-10-13     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  425-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Hysterectomy
Leiomyoma / complications*,  pathology,  surgery
Magnetic Resonance Angiography
Necrosis
Phlebography
Tomography, X-Ray Computed
Treatment Outcome
Vena Cava, Inferior / pathology*
Venous Thrombosis / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Left renal vein reconstruction after right nephrectomy and inadvertent left renal vein ligation: a c...
Next Document:  Impairment of T cell interactions with antigen-presenting cells by immunosuppressive drugs reveals i...