Case report: A case of perineal prolapse of giant uterine fibroids complicated by multiple pulmonary embolisms and deep venous thrombosis

Shixiang Dong, Xin Sun, Fengsheng Yu, Wenjie Wang, Li Zhang, Yankui Wang, Xiao Yu
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Abstract

A 43-year-old woman with a history of uterine fibroids, anemia, and deep vein thrombosis presented with a chief symptom of prolapse of tumor from the perineum, complicated by infection. The case was further complicated by bilateral pulmonary multiple embolism, deep vein thrombosis, acute cardiac insufficiency, acute renal insufficiency, and shock. The patient was treated with preoperative placement of an inferior vena cava filter, open hysterectomy, and perioperative anticoagulation with low-molecular-weight heparin. She smoothly navigated the perioperative period and recovered completely.
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病例报告:一例巨大子宫肌瘤会阴脱垂并发多发性肺栓塞和深静脉血栓形成的病例
一名 43 岁的女性患者曾患子宫肌瘤、贫血和深静脉血栓,主要症状是会阴部肿瘤脱垂,并发感染。双侧肺多发栓塞、深静脉血栓、急性心功能不全、急性肾功能不全和休克进一步加重了病情。患者在术前放置了下腔静脉过滤器,接受了开腹子宫切除术,并在围手术期使用低分子量肝素进行抗凝治疗。她顺利度过了围手术期,并完全康复。
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