Reynolds Tyler S, Luu Carrie, Chauvapun Joe
Department of Surgery, Division of Vascular and Endovascular Surgery, Harbor-UCLA Medical Center, Torrance, CA 90509, USA.
Vasc Endovascular Surg. 2012 Jan;46(1):80-4. doi: 10.1177/1538574411429866.
Uterine leiomyomas are commonly reported to cause deep venous thrombosis and rarely arterial compression.
A 48-year-old woman was transferred to our institution with acute right lower limb ischemia and tissue loss. She underwent urgent iliac thrombectomy and was subsequently found to have right common iliac artery compression by a large uterine leiomyoma. She underwent successful resection of the tumor followed by endovascular iliac stent placement.
This case emphasizes the importance of preoperative imaging when possible in the setting of acute arterial ischemia to evaluate for sources of extrinsic compression. Management requires correction of the etiology of extrinsic compression.
子宫平滑肌瘤通常被报道可导致深静脉血栓形成，而很少引起动脉压迫。
一名48岁女性因急性右下肢缺血和组织缺损被转至我院。她接受了紧急髂动脉取栓术，随后发现右侧髂总动脉被一个大的子宫平滑肌瘤压迫。她成功切除了肿瘤，随后进行了血管内髂动脉支架置入术。
该病例强调了在急性动脉缺血情况下，尽可能进行术前影像学检查以评估外部压迫来源的重要性。治疗需要纠正外部压迫的病因。
