Deep vein thrombosis and pulmonary embolism in a woman with uterine myoma

Abstract

Background: Deep vein thrombosis and pulmonary embolism are rare complications of uterine myoma. There have been few reports on these associations. Case: A 41 year old para 1+0 presented with 20 weeks size fibroid uterus, which had compressed the pelvic veins and caused unilateral deep vein thrombosis of right leg with subsequent pulmonary embolism. After anticoagulation therapy, a total abdominal hysterectomy was performed, with an uneventful recovery. Conclusion: Although deep vein thrombosis and pulmonary embolism associated with uterine myoma is a rare event, it can be managed successfully with anticoagulants and hysterectomy. A uterine myoma with deep vein thrombosis and pulmonary embolism is an indication for hysterectomy.