A case of successful treatment of acute iliofemoral venous thrombosis caused by giant myoma through combination of simultaneous hysterectomy and thrombectomy.

A 42-year-old woman complained of a sudden swelling and pain in her left lower extremity. Her lower abdomen was distended, and the thrombosis of iliac vein caused by giant myoma was detected by magnetic resonance imaging. A laparotomy was performed under general anesthesia with positive-pressure ventilation, anterior total hysterectomy and thrombectomy of iliofemoral vein simultaneously were performed. A postoperative venography revealed excellent recanalization of iliofemoral vein and she was subsequently discharged from hospital. Her clinical course has been extremely good, with no symptoms of post-thrombotic syndrome for two years.