Ekkel Elisabeth, Chandran Tara, Trpkovski Michael, Hans Sachinder
Department of Surgery, Henry Ford Macomb Hospital, Clinton Township, MI.
Department of Interventional Radiology, Henry Ford Macomb Hospital, Clinton Township, MI.
J Vasc Surg Cases Innov Tech. 2022 Mar 14;8(2):240-243. doi: 10.1016/j.jvscit.2022.02.013. eCollection 2022 Jun.
In the present report, we describe the case of a young woman with a large uterine leiomyoma causing phlegmasia cerulea dolens with thrombosis of the left common and left external iliac veins. She underwent tissue plasminogen activator catheter thrombolysis and mechanical thrombectomy to temporize the condition until she could be evaluated by a gynecologic oncologist to remove the cause of the venous obstruction. Before the hysterectomy, a suprarenal inferior vena cava filter was placed. However, <12 hours after the hysterectomy, she developed recurrent thrombosis involving the left common and external iliac veins. She underwent repeat mechanical thrombectomy with wall stent placement in the left common iliac vein with resolution of her symptoms.
在本报告中，我们描述了一名年轻女性的病例，她患有巨大子宫平滑肌瘤，导致股青肿，并伴有左总髂静脉和左髂外静脉血栓形成。她接受了组织型纤溶酶原激活剂导管溶栓和机械性血栓切除术，以暂时缓解病情，直到她能由妇科肿瘤学家进行评估以消除静脉阻塞的原因。在子宫切除术前，放置了一个肾上腔静脉滤器。然而，子宫切除术后不到12小时，她再次出现血栓形成，累及左总髂静脉和髂外静脉。她接受了再次机械性血栓切除术，并在左总髂静脉置入了壁式支架，症状得以缓解。
