Srettabunjong Supawon
Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Am J Forensic Med Pathol. 2013 Sep;34(3):207-9. doi: 10.1097/PAF.0b013e318298a456.
A systemic thrombus embolization after deep vein thrombosis (DVT) caused by uterine myomas is very rare. The authors recently had experienced this association in a single 46-year-old Thai woman with previous healthy history and no other known risk factors for development of DVT. On arrival at a nearby small hospital, the deceased had presented with an abrupt onset of right hemiparesis, and 34 hours after admission to the hospital, she suddenly developed a cardiopulmonary collapse and was pronounced dead. Autopsy examination revealed that her death was attributed to massive pulmonary thromboembolism with systemic embolization through coexistent patent foramen ovale after DVT of her bilateral lower extremities caused by uterine myomas.
子宫肌瘤导致的深静脉血栓形成（DVT）后发生系统性血栓栓塞非常罕见。作者最近在一名46岁的泰国女性身上遇到了这种关联，该女性既往健康，无其他已知的DVT发生风险因素。到达附近一家小医院时，死者出现了突然的右侧偏瘫，入院34小时后，她突然发生心肺功能衰竭并被宣布死亡。尸检发现，她的死亡归因于子宫肌瘤导致双侧下肢DVT后，通过并存的卵圆孔未闭发生的大量肺血栓栓塞伴系统性栓塞。
