From the Department of Radiology and Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York.
Obstet Gynecol. 2010 Feb;115(2 Pt 2):468-470. doi: 10.1097/AOG.0b013e3181cb8f6c.
Rarely, uterine leiomyomas have been associated with deep venous thrombosis secondary to compression. Affected vessels include the inferior vena cava and the common iliac, iliac, and distal veins. Arterial compression has not been reported previously. Bilateral uterine artery embolization for symptomatic leiomyomata provides relief of bulk-related symptoms and reduction in menstrual flow.
A 42-year-old woman presented with menorrhagia secondary to a myomatous uterus. Claudication of the right lower extremity was attributed to imaging-confirmed leiomyoma pressure-associated compression of the right common iliac artery. Examination disclosed an absent right common femoral artery pulse. Bilateral uterine artery embolization resulted in long-term resolution of the claudication.
Claudication of the lower extremity may result from pressure-associated compression of the common iliac artery caused by uterine leiomyomas, and may be amenable to bilateral uterine artery embolization.
罕见情况下，子宫肌瘤可因压迫导致深静脉血栓形成。受影响的血管包括下腔静脉和髂总、髂内和远端静脉。以前没有报道过动脉受压的情况。双侧子宫动脉栓塞术治疗有症状的子宫肌瘤可缓解肿块引起的症状并减少月经流量。
一名 42 岁女性因子宫平滑肌瘤导致月经过多就诊。右下肢跛行归因于影像学证实的子宫肌瘤压迫相关右髂总动脉受压。检查发现右股总动脉搏动消失。双侧子宫动脉栓塞术导致跛行长期缓解。
下肢跛行可能是由子宫肌瘤压迫髂总动脉引起的，可能适合行双侧子宫动脉栓塞术。
