A rare association of uterine leiomyoma with mesenteric vein thrombosis and bowel gangrene: case report

Authors

  • Rajneesh Rawat Department of General Surgery, IGGMC, Nagpur, Maharashtra, India http://orcid.org/0000-0002-9049-8230
  • Manik Gedam Department of General Surgery, IGGMC, Nagpur, Maharashtra, India
  • Jyoti Baghel Department of Obstetrics and Gynecology, AIIMS Nagpur, Maharashtra, India
  • Shalini Baghel Department of Obstetrics and Gynaecology, SN Medical College, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20211167

Keywords:

Uterine leiomyoma, Acute abdomen, Portal vein thrombosis, Superior mesenteric vein thrombosis, Bowel gangrene, Case report

Abstract

Uterine fibroids are the most common benign pelvic tumors in women. There are many complications reported with fibroids. However, mesenteric vein thrombosis and small bowel gangrene caused by a uterine fibroid are rare. This manuscript reports a rare case of 40 year female with a large uterine fibroid associated with mesenteric vein thrombosis and bowel ischemia. She underwent exploratory laparotomy in which resection of gangrenous bowel including jejunum and ileum was done along with left sided jejunostomy and right sided ileostomy. Total abdominal hysterectomy with bilateral salpingooophorectomy was done followed by jejunoileal anastomosis 6 weeks later. Hence, in patients presenting with acute abdomen and uterine fibroids, bowel gangrene must be included in the differential diagnosis.

Author Biography

Jyoti Baghel, Department of Obstetrics and Gynecology, AIIMS Nagpur, Maharashtra, India

Dr. Jyoti Baghel, Senior Resident

Department of Obstetrics and Gynecology, AIIMS Nagpur

Email id :bagheljyoti@aiimsnagpur.edu.in

Phone no: 9585895803

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Published

2021-03-24

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Section

Case Reports