Massive pulmonary embolism in a woman with leiomyomatous uterus causing pelvic deep venous thrombosis
Falcone, M.; Serra, P.
Annali Italiani di Medicina Interna Organo Ufficiale Della Societa Italiana di Medicina Interna 20(2): 104-107
2005
ISSN/ISBN: 0393-9340 PMID: 16052843 Document Number: 590926
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.