Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

13 July 2014 : Case report  Iran

Acute Pulmonary Embolism Caused by Enlarged Uterine Leiomyoma: A Rare Presentation

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)

Kamal KhademvataniABCDEG, Yousef RezaeiABCDEF, Abdollah KerachianABDF, Mir Hossein Seyyed-MohammadzadABCD, Ramin EskandariBDF, Alireza RostamzadehBDF

DOI: 10.12659/AJCR.890607

Am J Case Rep 2014; 15:300-303

Abstract

BACKGROUND: Deep venous thrombosis (DVT) and subsequent pulmonary embolism (PE) caused by pelvic vein compression are rare and life-threatening complications of leiomyoma of the uterus.

CASE REPORT: We report a 42-year-old virgin woman with a history of leiomyoma who presented to the emergency department with complaints of dyspnea and pleuritic chest pain with transient spotting. On physical examination, she had a non-tender abdomen with a 20-week size uterus. Imaging investigations revealed an acute DVT in her left leg and a huge uterine-derived mass compressing the common iliac veins. Transesophageal echocardiography (TEE) demonstrated an echogenic mass in her right pulmonary artery consistent with thrombosis. The patient was completely cured using thrombolytic therapy and myomectomy, and was well at 1 year after thrombolysis.

CONCLUSIONS: PE caused by pelvic vein compression is a rare complication of leiomyoma, which should be considered. Thrombolytic therapy associated with myomectomy can be implemented for treating such cases, and TEE can be used for diagnosing suspected high-risk PE.

Keywords: Echocardiography, Leiomyoma, Pulmonary Embolism, Thrombolytic Therapy

Add Comment 0 Comments

1075 8

In Press

05 Jun 2023 : Case report  USA

Successful Treatment of Recurrent Colonic Adenocarcinoma with Metastatic Tumor Thrombus in the Superior Mes...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939156  

05 Jun 2023 : Case report  Japan

Delayed Right Ventricular Pacemaker Lead Perforation 9 Years After Implantation

Am J Case Rep In Press; DOI: 10.12659/AJCR.940291  

05 Jun 2023 : Case report  Japan

An 81-Year-Old Man Presenting with Asthenia and Anorexia After an Alcohol-Induced Hypoglycemic Coma and a D...

Am J Case Rep In Press; DOI: 10.12659/AJCR.939840  

02 Jun 2023 : Case report  USA

Single Pterional Burr Hole Coupled with Coagulation of the Middle Meningeal Artery for Management of a Chro...

Am J Case Rep In Press; DOI: 10.12659/AJCR.940045  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923