Past medical history: multiple uterine myomectomies |
Two years before |
Presenting Symptoms: progressive dyspnea, palpitations, metrorrhagia, generalized pelvic pain, and bilateral leg edema) |
Day 1 |
Physical Examination: tachypnea, bilateral mild pitting edema of the lower legs, and jugular venous distension) |
Day 1 |
Diagnostic Evaluation: chest X-ray, Doppler transthoracic echocardiography, color-Doppler Ultrasound of the abdomen, chest-abdomen-pelvis Computed Tomography |
Day 1 |
Diagnosis: pelvic mass extending into the right iliac vein and ascending trough the inferior vena cava to the right heart and causing pulmonary embolism |
Day 1 |
First-stage surgical procedure |
Day 2 |
Uterine artery embolization |
Day 18 |
IVC filter placement |
Day 22 |
Second-stage surgery |
Day 35 |
IVC filter removal |
Day 54 |
Discharge |
Day 59 |
Follow up: the patient showed no evidence of disease recurrence |
two years after |