Subscribe to RSS
DOI: 10.1055/s-2008-1038880
© Georg Thieme Verlag KG Stuttgart · New York
Pulmonary Embolism with Myomatous Erythrocytosis Syndrome and Extreme Obesity
Publication History
received March 20, 2008
Publication Date:
23 July 2009 (online)
Abstract
We here report a case of a 53-year-old woman requiring pulmonary embolectomy for acute massive pulmonary embolism caused by a huge uterine myoma compressing veins in the pelvis and extreme obesity. She was also diagnosed as having myomatous erythrocytosis syndrome, a rare disease associated with secondary polycythemia. The polycythemia improved after a hysterectomy which was performed after pulmonary embolectomy.
Key words
Cardiovascular surgery - pulmonary embolism - pulmonary embolectomy - myomatous erythrocytosis syndrome
References
- 1 Goldhaber S Z, Grodstein F, Stampfer M J. et al . A prospective study of risk factors for pulmonary embolism in women. JAMA. 1997; 277 642-645
- 2 Fleming A R, Markley J C. Polycythemia associated with uterine myomas. Am J Obstet Gynecol. 1957; 74 677-679
- 3 LevGur M, Levie M D. The myomatous erythrocytosis syndrome: a review. Obstet Gynecol. 1995; 86 1026-1030
- 4 Yokoyama Y, Shinohara A, Hirokawa M, Maeda N. Erythrocytosis due to an erythropoietin-producing large uterine leiomyoma. Gynecol Obstet Invest. 2003; 56 179-183
- 5 Biswas M, Prakash P K, Cossburn M, Myers K, Hanna F. Life-threatening thrombotic complications of relative polycythaemia. J Intern Med. 2003; 253 481-483
Dr. Satoshi Unosawa
Nihon University School of Medicine
Cardiovascular Surgery
30–1, Ooyaguchi-kami-machi, Itabashi-ku
173–8610 Tokyo
Japan
Email: sunosaw@med.nihon-u.ac.jp