Tsai Ya-Chu May
Department of Medicine, St Vincent's Hospital Melbourne, 41 Victoria Parade Fitzroy, 3065, Melbourne, VIC, Australia.
J Med Case Rep. 2016 Oct 31;10(1):304. doi: 10.1186/s13256-016-1089-y.
Unilateral lower abdominal pain and/or sciatic nerve pain is a common presentation in the elderly population. The prevalence of broad ligament leiomyoma is <1 % with the prevalence declining after the menopause and it is rare for broad ligament leiomyomas to be clinically significant. Thus, we highlight a case of symptomatic broad ligament leiomyoma in a postmenopausal woman whose symptoms improved after definitive treatment.
A 62-year-old postmenopausal Macedonian woman was referred to our gynecological department with unexplained pain in her left leg and left iliac fossa region on walking. There was minimal relief with increasing analgesia use prescribed by the family physician. Investigations revealed an ipsilateral adnexal mass and subsequent treatment with laparoscopic broad ligament myomectomy helped to alleviate her symptoms.
Our case highlights the importance of staying mindful of alternate diagnoses when presented with a common presentation of iliac fossa pain and pain in the leg. Although broad ligament leiomyomas are benign tumors, the uncommon symptomatic presentation led us to report and focus some attention on this type of tumor.
单侧下腹部疼痛和/或坐骨神经痛是老年人群中的常见症状。阔韧带平滑肌瘤的患病率<1%，绝经后患病率下降，临床上有意义的阔韧带平滑肌瘤很少见。因此，我们重点介绍一例绝经后妇女的有症状阔韧带平滑肌瘤病例，其症状在明确治疗后有所改善。
一名62岁绝经后的马其顿妇女因行走时左腿和左髂窝区域不明原因疼痛被转诊至我们的妇科。家庭医生开具的止痛药物用量增加，但疼痛缓解甚微。检查发现同侧附件肿块，随后行腹腔镜阔韧带肌瘤切除术有助于缓解她的症状。
我们的病例强调了在出现髂窝疼痛和腿部疼痛等常见症状时，留意其他诊断的重要性。虽然阔韧带平滑肌瘤是良性肿瘤，但这种不常见的有症状表现促使我们报告并关注这类肿瘤。
