%0 Case Reports
%T Uterine Fibroid-Associated Massive Pulmonary Embolism: A Report of Two Cases.
%A Brown D
%A Ghalib N
%A Wu J
%A Shahzadi A
%A Simpson T
%A Sharma A
%A Bejugam VR
%A Soodhan K
%A Thachil R
%J Cureus
%V 16
%N 6
%D 2024 Jun
%M 39011196
暂无%R 10.7759/cureus.62436
%X This report details cases of uterine fibroid-associated deep vein thrombosis leading to massive pulmonary embolism, as well as the likely associated physiology. Two women, aged 33 and 37, presented with fibroid-associated pulmonary embolism. They both had large uterine sizes and no underlying thrombophilia. Case 1 had an uncomplicated course, whereas Case 2 had a course complicated by cardiac arrest and prolonged recovery. The presence of fibroids enhances coagulation and platelet adhesion. Mechanical compression also plays a role in predisposing to thrombosis. There may be a role for preoperative screening, especially in those with an elevated estimated uterine weight.