A case of huge uterine myoma associated with pulmonary thromboembolism.

Lee, Seung Eun; Jung, Sang Geun; Kim, Mi Kyoung; Park, Ji Hyeon; Kang, Hae Youn; Kim, Man Deuk; Mok, Jung Eun

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(8):1180-1185.
Published online August 1, 2007.

A case of huge uterine myoma associated with pulmonary thromboembolism.

Seung Eun Lee, Sang Geun Jung, Mi Kyoung Kim, Ji Hyeon Park, Hae Youn Kang, Man Deuk Kim, Jung Eun Mok

¹Department of Obstetrics and Gynecology, Bundang CHA General Hospital, Pocheon CHA University, College of Medicine, Seongnam-Si, Gyeonggi-do, Korea. ia0022@hanmail.net
²Department of Pathology, Bundang CHA General Hospital, Pocheon CHA University, College of Medicine, Seongnam-Si, Gyeonggi-do, Korea.
³Department of Diagnostic Radiology, Bundang CHA General Hospital, Pocheon CHA University, College of Medicine, Seongnam-Si, Gyeonggi-do, Korea.
⁴Department of Obstetrics and Gynecology, Cheil General Hospital, Kwan-Dong University, College of Medicine, Seoul, Korea.

Abstract

Deep vein 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 huge uterine myoma can cause compression of the pelvic venous system leading to DVT. We experienced a very rare case of pulmonary thromboembolism in a 45-year-old woman with a huge uterine myoma and no other recognized risk factors for PTE and DVT. The patient was successfully treated with thrombolytic and anticoagulation therapy associated with total hysterectomy.

Key Words: Pulmonary thromboembolism, Deep vein thrombosis, Uterine myoma