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How do you manage anticoagulation in a patient with DVT from likely malignant mechanical obstruction?
Patient has bilateral common, internal, and external iliac and femoral DVT from obstruction by a large uterine mass that is likely malignant and is planned for resection.
Answer from: at Academic Institution
This is a very difficult situation to manage.
Would promptly initiate therapeutic anticoagulation as long as no increased risks for bleeding.
The surgery to remove the uterine mass is likely urgent. I would confirm with gynecologic oncology (or the team planning on removing the mass) that it...
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