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    
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.
Jenny Hawes; Joann Lohr; Barry Blum; Anant Bhati; Jayapandia Bhaskaran; Amy Engel
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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    
Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio, USA.
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MeSH Terms
Leiomyoma / complications*,  pathology,  surgery
Magnetic Resonance Angiography
Tomography, X-Ray Computed
Treatment Outcome
Vena Cava, Inferior / pathology*
Venous Thrombosis / etiology*

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