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Pulmonary Thromboemboli Due to Leiomyoma
Julita Gongolli1, Anna Vanderschaegen1, Shannon Renfrow2
1From the Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI.
The American Journal of Forensic Medicine and Pathology
|March 27, 2024
Summary
Uterine leiomyomas, common benign tumors, can rarely cause death. This case highlights a fatal pulmonary thromboembolism secondary to pelvic vein thrombosis in a patient with leiomyomas.
Area of Science:
- Gynecology
- Pathology
- Cardiovascular Medicine
Background:
- Uterine leiomyomas are the most prevalent pelvic tumors in women.
- They are a leading cause for hysterectomy.
- While typically benign, they cause significant morbidity including bleeding, pain, and infertility.
Observation:
- This report details a rare case of mortality associated with uterine leiomyomas.
- The patient experienced pelvic vein thrombosis.
- This led to a fatal pulmonary thromboembolism.
Findings:
- Uterine leiomyomas, despite being benign, can precipitate life-threatening complications.
- Pelvic vein thrombosis is a potential, albeit uncommon, sequela.
- Fatal pulmonary thromboembolism occurred in this case secondary to the thrombosis.
Implications:
- Highlights the critical need to consider rare but severe complications of uterine leiomyomas.
- Emphasizes the importance of early diagnosis and management of pelvic vein thrombosis in relevant cases.
- Underscores that even common benign conditions can have fatal outcomes.
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