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Gupta S et al. – Deep vein thrombosis is usually due to pelvic venous compression, and while some have advocated that its occurrence in association with a fibroid mass should be an absolute indication for hysterectomy, sophisticated use of radiological adjuncts at surgery, such as ‘umbrellas’ and haematological support with appropriate anticoagulation, could enable uterine–preserving surgery. The diagnosis of fibroids as a cause of acute urinary retention should be one of exclusion.

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