• J Reprod Med · Jun 2007

    Case Reports

    Extensive iliac vein thrombosis as a rare complication of a uterine leiomyoma: a case report.

    • Rubina Khilanani and Vani Dandolu.
    • Division of Urogynecology, Department of Obstetrics and Gynecology, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA.
    • J Reprod Med. 2007 Jun 1; 52 (6): 537-8.

    BackgroundLower leg thombosis can occur in association with a large uterine leiomyoma.CaseWe report a case of extensive lower extremity thromboembolic disease secondary to large uterine myomas. The patient presented with sudden onset of lower extremity swelling in the absence of risk factors for thrombosis. Workup revealed extensive thrombosis involving iliac, femoral, popliteal, posterior tibial and peroneal veins secondary to vena caval compression by large uterine fibroids. Hysterectomy was performed after vena caval filter placement.ConclusionIn women with large uterine leiomyomas, the preoperative workup should include testing to rule out potential asymptomatic thrombi.

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