Affiliation:
1. Department of Cardiology, NMC Hospital, Muscat, Oman
Abstract
Abstract
Deep vein thrombosis is commonly associated with pulmonary embolism (PE). However, gluteal vein thrombosis associated with PE is not widely reported. A 39-year-old female complaining of shortness of breath and menorrhagia was evaluated by the gynecologist. Magnetic resonance imaging evaluation of her abdomen and pelvis revealed a left superior gluteal vein thrombus. In view of the patient’s dyspnea and elevated D-dimer, the patient underwent computed tomography pulmonary angiogram, which showed the presence of bilateral PE. The patient’s symptoms improved after anticoagulation with rivaroxaban. This case report highlights the association of gluteal vein thrombosis with PE.
Reference13 articles.
1. Sudden death by pulmonary thromboembolism due to a large uterine leiomyoma with a parasitic vein to the mesentery;Podduturi;Case Rep Obstet Gynecol,2014
2. Bleeding versus clotting:A complex case of a large fibroid uterus causing menorrhagia and a DVT;Ramanan;Case Rep Obstet Gynecol,2016
3. Deep-vein thrombosis is associated with large uterine fibroids;Shiota;Tohoku J Exp Med,2011
4. Case series of seven women with uterine fibroids associated with venous thromboembolism and chronic thromboembolic disease;Lacharite-Roberge;Pulm Circ,2019
5. Diagnosis of deep venous thrombosis and pulmonary embolism:New imaging tools and modalities;Rahaghi;Clin Chest Med,2018