2018, Number 4
<< Back Next >>
Rev Mex Angiol 2018; 46 (4)
Trombosis venosa profunda iliofemoral secundaria a la compresión extrínseca por un endometrioma
Escobar-Preciado M, Anaya-Ayala JE, Hinojosa CA
Language: Spanish
References: 13
Page: 190-193
PDF size: 181.43 Kb.
ABSTRACT
Deep vein thrombosis (DVT) associated with extrinsic compression due to the presence of a perivascular
endometrioma is a rare clinical scenario. In the present article, we report the case of a 41 year-old female
patient with diagnosis of an endometrioma located in the right pelvis, which provoked moderate edema
and refractory pain in the pelvis and her right lower extremity, exacerbated during her menstrual
period. Imaging confirmed that the endometrioma caused extrinsic obstruction of the right common
iliac vein resulting in limitation in the venous return. Systemic anticoagulation was initiated, however
the symptoms persisted. The patient underwent surgical resection of the endometrioma allowing restoration
of the deep venous return and with resolution of the symptoms.
REFERENCES
Kasper D, Fauci, Hauser, Longo, Jameson, Loscalzo, Harrison. Principio de medicina interna. 19th Ed. Estados Unidos de América: McGrawHill; 2016. p 2388.
Chiaramonte R, Castorina S, Castorina EG, Panarello A, Maria Antoci S. Thrombosis of iliac vessels, a rare complication of endometriosis: Case report and review of literature. J Adv Res 2017; 8(1): 1-5.
Sharma RP, Delly F, Marin H, Sturza S. Endometriosis causing lower extremity deep vein thrombosis - case report and review of the literature. Int J Angiol 2009; 18(4): 199-202.
Solano JA, Valenzuela PL, Martínez E, Zapico A, González J. Primary umbilical endometriosis. Clin Invest Gin Obst 2013; 40(5): 227-30.
Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997; 24(2): 235-58.
Restrepo G. Endometriosis, Endometrioma e Infertilidad. Revista Med 2010; 18(2): 197-209.
Vercellini P, Viganò P, Somigliana E, Fedele L. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol 2014; 10(5): 261-75.
Giudice LC. Práctica Clínica Endometriosis. N Engl J Med. Disponible en PMC 2011.
Kasper D, Fauci, Hauser, Longo, Jameson, Loscalzo, Harrison. Principio de medicina interna. 19th Ed. Estados Unidos de América: McGrawHill; 2016. p 388.
Rosengarten AM, Wong J, Gibbons S. Endometriosis causing cyclic compression of the right external iliac vein with cyclic edema of the right leg and thigh. J Obstet Gynaecol Can 2002; 24(1): 33-5.
Ianieri MM, Buca DIP, Panaccio P, Cieri M, Francomano F, Liberati M. Retroperitoneal endometriosis in postmenopausal woman causing deep vein thrombosis: case report and review of the literature. Clin Exp Obstet Gynecol 2017; 44(1): 148-50.
Zamurovic M. Rare extrapelvic endometriosis on iliac vein wall diagnosis and treatment. Clin Exp Obstet Gynecol 2014; 41(3): 349-50.
Ma Li, Kailun Chen, Yoke Fai Fong. A rare case of endometriosis that lines the external iliac vein that causes deep vein thrombosis. Department of Obstetrics and Gynecology, National University Hospital, Singapore. AJOG 2018.