Thrombosis associated with a large leiomyomatous uterus

Abstract

Female patient, 47 years old, with pain, edema and functional impotence of her left lower limb in the past 3 days. Recent history of menorrhagia and anaemia, requiring blood transfusion. Abdominal examination revealed a large, hard and painless mass in the hypogastrium. She was diagnosed with venous thrombosis of the left common and superficial femoral veins and thromboembolism of the right branch of the pulmonary artery. Abdominal-pelvic Computed Tomography Scan (Figure 1) showed a large heterogeneous uterine mass with central areas of necrosis. Pelvic magnetic resonance (Figure 2) demonstrated a uterine lesion with features of aggressiveness, which may correspond to sarcoma. She underwent subtotal hysterectomy and bilateral adnexectomy. However, histopathological study didn´t confirmed the presence of leiomyosarcoma, but instead a uterine leiomyoma. It is a benign tumor with an incidence of malignant degeneration less than 1.0% and whose surgical treatment is definitive.

© 2014 Galicia Clínica.