This report presents a 42-year-old African American woman with bilateral lower extremity pain, swelling, and paresthesias. Imaging demonstrated a large fibroid uterus with a mass effect in proximity to an iliocaval venous thrombosis. Mechanical thrombectomy was performed with recurrent infrarenal vena cava and bilateral iliac thrombosis, prompting hysterectomy. A subsequent intravascular ultrasound examination demonstrated relief of the external caval compression, but with left iliac vein compression by the right common iliac artery. The patient was managed successfully with mechanical thrombectomy and venous stenting. This case highlights the benefit of a multidisciplinary approach to complex iliocaval thrombosis from both an obstructive uterine myoma and May-Thurner syndrome.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8990033 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2022.01.008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Preceding Antiphospholipid Syndrome before the Onset of Systemic Lupus Erythematosus Presenting with Iliocaval Deep Vein Thrombosis: A Case Report and Literature Review.
Ann Vasc Dis
December 2024
Department of Vascular Surgery, Tokoname Municipal Hospital, Tokoname, Aichi, Japan.
Antiphospholipid syndrome (APS) and systemic lupus erythematosus (SLE) are similar to be characterized by thromboembolic events and various clinical manifestations. We experienced a 21-year-old man with acute iliocaval deep vein thrombosis (DVT). Primary APS was initially diagnosed on the criteria, and after multidisciplinary treatment, iliocaval DVT was gradually regressed.
View Article and Find Full Text PDFUnexpected normal ROTEM results in protein C deficiency with IVC thrombosis.
BMJ Case Rep
November 2024
Anesthesiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Protein C deficiency is a hereditary disorder that increases the risk of thrombotic events but has unclear effects on rotational thromboelastometry (ROTEM) analysis. A man in his 60s with a history of protein C deficiency and multiple thrombotic events underwent inferior vena cava (IVC) filter removal, iliocaval thrombectomy and infrarenal IVC placement for IVC-related complete iliocaval and common femoral vein thromboses. A ROTEM analysis showed normal coagulation in NATEM and EXTEM and only a slight shortening in A10 and A20 in INTEM, which was unexpected given his diagnosis of protein C deficiency.
View Article and Find Full Text PDFMajor Complications of Deep Venous Stenting.
Cardiovasc Intervent Radiol
December 2024
Department of Interventional Radiology, Galway University Hospital, Galway, Ireland.
Introduction: Deep venous stent placement has developed into a primary treatment modality for venous obstruction in recent decades. Reported rates of complications are low in the literature and are based mainly on case reports and single-centre cohorts. Interventionalists performing these procedures must be aware of the occurrence of complications associated with stent placement to counsel patients adequately and promote avoidance through optimal procedural approach.
View Article and Find Full Text PDFEndovascular Interventions of Cancer-Associated Venous Thromboembolism with Symptomatic Iliocaval Venous Thrombosis: A Case Report.
Medicina (Kaunas)
August 2024
Division of Cardiovascular Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien City 970473, Taiwan.
Cancer-associated venous thromboembolism (CAT) poses a severe threat, disrupting ongoing cancer management and adversely impacting treatment outcomes. CAT often leads to a two- to six-fold increase in mortality rates when it progresses to venous total occlusion. The primary modalities employed in addressing this life-threatening complication include anticoagulant therapy only or coupled with strategic endovascular interventions.
View Article and Find Full Text PDFEndovascular thrombectomy provides durable, symptomatic relief in iliocaval tumor thrombosis.
Clin Radiol
October 2024
David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA; Department of Radiology, Los Angeles, CA 90095, USA. Electronic address:
Aims: Iliocaval venous tumor thrombus is a morbid condition associated with chronic venous stasis, lower extremity edema/pain, extensive thrombus burden and high mortality secondary to critical flow obstruction, intracardiac thrombus extension and tumor embolization. Typically resistant to medical therapy, management is primarily surgical, presenting challenges for medically complex patients with widespread or end-stage disease. Mechanical or aspiration thrombectomy represents an appealing treatment strategy but data are lacking.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!