Management of a Case of Multiple Fibroids Uterus with Deep Vein Thrombosis and Pulmonary Embolism

Prof. Dr. R. Shanthimalar; Dr. Lakshmi Prakash

Volume : VI, Issue : IX, September - 2016

Management of a Case of Multiple Fibroids Uterus with Deep Vein Thrombosis and Pulmonary Embolism

Prof. Dr. R. Shanthimalar, Dr. Lakshmi Prakash

Abstract :

Management of a case of Dysfunctional Uterine Bleeding due to multiple fioids 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 fioids, Deep Vein Thrombosis and Pulmonary Embolism.