A large fibroid uterus presenting with bilateral DVT, treated with IVC filter and hysterectomy, a case report

Bekhit, Mohammad; Hassanaien, Medhat; Thomas, E.; Cockburn, John

doi:10.1016/j.ejogrb.2006.08.014

Cited by 4 publications

(1 citation statement)

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“…Proper management of anticoagulation is important in these cases. Placement of an IVC filter prevents life-threatening saddle pulmonary embolism before, during or after surgery, and allows discontinuation of anticoagulation in the peri-operative period so that surgery can be undertaken safely 7 .…”

Section: Discussionmentioning

confidence: 99%

Management of a case of large uterine leiomyoma with deep vein thrombosis

Sangeethaa,

Abeysekara

2023

Sri Lanka J Obstet & Gynae

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Deep venous thrombosis (DVT) is a potentially fatal condition. The association of this condition with uterine leiomyoma has rarely been reported in the medical literature. In this report we present a rare case of left lower limb DVT in a 30-year-old woman with a large fibroid. She is sub fertile for 8 years and had a history of heavy menstrual bleeding for 6 months. Examination revealed 20-week size abdominopelvic mass. She had developed left lower limb DVT, 3 months back and imaging investigation confirmed DVT in left femoral vein. She was on an oral anticoagulant. The patient was successfully managed with Inferior Vena Cava (IVC) filter insertion and abdominal myomectomy. Multidisciplinary involvement involving gynaecologist, haematologist, interventional radiologist and anaesthetist are crucial for successful outcome.

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Section: Discussionmentioning

confidence: 99%