The Role of Thrombectomy in the Management of Deep Vein Thrombosis

IntroductionSurgical venous thrombectomy has recently gained increasing popularity in the literature for the management of a range of clinical presentations of extensive acute deep vein thrombosis including; young and active patients, during pregnancy, postpartum and in patients with traumatic or postoperative thrombosis.ReportWe report a case of unilateral iliofemoral deep vein thrombosis arising secondary to external compression of the left common iliac vein by large uterine fibroids, successfully managed with open venous thrombectomy.DiscussionWhere conventional anticoagulation or catheter directed regional thrombolysis may be contraindicated, surgical thrombectomy has provided an appropriate alternative with good results