Images in Cardiothoracic Medicine and Surgery
Pulmonary thromboembolism caused by huge uterine myoma
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(8) 1003 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314532109 aan.sagepub.com
Jae Kwang Yun and Joon Bum Kim
Figure 1. Perfusion computed tomography of the lung showing multifocal low-attenuation lesions from the distal right pulmonary artery to the segmental branches (white arrow) with reduced perfusion of the lung (blue shadows).
Figure 2. (a) Computed tomography scan of the abdomen and pelvis revealing a huge myomatous uterus compressing the inferior vena cava against the right aspect of the spine. (b) A low-attenuation thrombus was seen in the inferior vena cava (black arrow) in association with a large myomatous uterus.
A 46-year-old woman presented with sudden onset of dyspnea. A perfusion computed tomography scan revealed pulmonary thromboembolism (Figure 1). On abdominopelvic computed tomography, a huge uterine myoma was seen compressing the inferior vena cava and causing venous stasis and multiple thromboses (Figure 2). The patient was successfully treated by inferior vena cava filter insertion and pulmonary thromboembolectomy followed by hysterectomy. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared.
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Corresponding author: Joon Bum Kim, MD, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, 88, Olympic-Ro 43-Gil, Songpa-Gu, Seoul, 138-736, Republic of Korea. Email: [email protected]
Downloaded from aan.sagepub.com at Monash University on November 16, 2015
Pulmonary thromboembolism caused by huge uterine myoma
Asian Cardiovascular & Thoracic Annals 2015, Vol. 23(8) 1003 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314532109 aan.sagepub.com
Jae Kwang Yun and Joon Bum Kim
Figure 1. Perfusion computed tomography of the lung showing multifocal low-attenuation lesions from the distal right pulmonary artery to the segmental branches (white arrow) with reduced perfusion of the lung (blue shadows).
Figure 2. (a) Computed tomography scan of the abdomen and pelvis revealing a huge myomatous uterus compressing the inferior vena cava against the right aspect of the spine. (b) A low-attenuation thrombus was seen in the inferior vena cava (black arrow) in association with a large myomatous uterus.
A 46-year-old woman presented with sudden onset of dyspnea. A perfusion computed tomography scan revealed pulmonary thromboembolism (Figure 1). On abdominopelvic computed tomography, a huge uterine myoma was seen compressing the inferior vena cava and causing venous stasis and multiple thromboses (Figure 2). The patient was successfully treated by inferior vena cava filter insertion and pulmonary thromboembolectomy followed by hysterectomy. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared.
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Corresponding author: Joon Bum Kim, MD, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, 88, Olympic-Ro 43-Gil, Songpa-Gu, Seoul, 138-736, Republic of Korea. Email: [email protected]
Downloaded from aan.sagepub.com at Monash University on November 16, 2015
