Management of A Case of Multiple Fibroids Uterus with Deep Vein Thrombosis and Pulmonary Embolism
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 9
Abstract
Management of a case of Dysfunctional Uterine Bleeding due to multiple fibroids for Hysterectomy can be really challenging when the patient has Deep Vein Thrombosis2 leading to Pulmonary Embolism. The incidence ratio of Deep Vein Thrombosis and Pulmonary Embolism increases exponentially with age. Neuraxial blockade reduces the post-operative morbidity, mortality and other serious complications. Both unfractionated Heparin and Low Molecular Weight Heparin significantly reduce the incidents of Venous Thrombo- Embolism and its associated complications. When anticoagulation therapy alone cannot help in a bleeding patient, placing a filter in the Inferior Venacava prevents further recurrence of Pulmonary Embolism. We present an interesting case of a patient who successfully underwent Total Abdominal Hysterectomy after being diagnosed with multiple fibroids, Deep Vein Thrombosis and Pulmonary Embolism.
Authors and Affiliations
Dr. R. Shanthimalar, Dr. Lakshmi Prakash
Keywords
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