Management of phlegmasia cerulea dolens caused by a giant leiomyoma.
Phlegmasia cerulea dolens
Thrombectomy
Uterine leiomyoma
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
04
12
2021
accepted:
25
02
2022
entrez:
2
5
2022
pubmed:
3
5
2022
medline:
3
5
2022
Statut:
epublish
Résumé
In the present report, we describe the case of a young woman with a large uterine leiomyoma causing phlegmasia cerulea dolens with thrombosis of the left common and left external iliac veins. She underwent tissue plasminogen activator catheter thrombolysis and mechanical thrombectomy to temporize the condition until she could be evaluated by a gynecologic oncologist to remove the cause of the venous obstruction. Before the hysterectomy, a suprarenal inferior vena cava filter was placed. However, <12 hours after the hysterectomy, she developed recurrent thrombosis involving the left common and external iliac veins. She underwent repeat mechanical thrombectomy with wall stent placement in the left common iliac vein with resolution of her symptoms.
Identifiants
pubmed: 35493345
doi: 10.1016/j.jvscit.2022.02.013
pii: S2468-4287(22)00034-X
pmc: PMC9046118
doi:
Types de publication
Case Reports
Langues
eng
Pagination
240-243Informations de copyright
© 2022 The Authors.
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