DVT following laparoscopic hysterectomy in a nulliparous wom
Published in The Journal of Obstetrics and Gynecology of India, the authors present a case of a nulliparous woman aged 45 years who was referred with painful swelling in left lower limb. She underwent laparoscopic hysterectomy for menorrhagia 12 days prior to the admission.

The laparoscopic surgery was completed in 90 min without blood loss and blood transfusion. The size of the uterus was approximately 12 weeks. Duplex scan of the left lower limb confirmed thrombosis of the left external iliac vein, femoral vein, popliteal vein and tibial veins.

On examination the laparoscopic puncture wounds healed well. She was hospitalized for initial anticoagulation with low molecular weight heparin (Enoxapain 1 mg/kg body weight twice daily) and compression bandages.

Histological examination of the hysterectomy specimen was noted to be benign (Adenomyosis and cervical Leiomyoma). She responded to anticoagulation therapy and was discharged with an advice to attend the follow up clinic for long term anticoagulation advice for the next 6 months to prevent recurrent thromboembolic episodes.

Key takeaway:-
When large uterine myomas are compressing the pelvic veins they develop venous thrombosis which can be suspected and treated preoperatively.

Read more here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295870/
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