Disi Efe S
College of Medicine, Madonna University, Elele, NGA.
Biology, University of Kentucky, Lexington, USA.
Cureus. 2022 Aug 10;14(8):e27855. doi: 10.7759/cureus.27855. eCollection 2022 Aug.
Uterine fibroids are common, especially among women of African descent. Several women with fibroids are asymptomatic, which may contribute to underestimating its prevalence. Symptomatic uterine fibroids present with menstrual problems, anemia, infertility, miscarriages, an enlarged abdomen, pressure symptoms involving the bladder and bowels (such as frequent urination or constipation), and sometimes coital-related problems. This case report describes a 25-year-old African American woman with uterine fibroids who suffered from lower back pain radiating to the left lower extremity, along with paresthesias and weakness of the left leg. She was diagnosed with lumbar radiculopathy, early pregnancy, and an incidental finding of a Tarlov cyst. As the pregnancy progressed, the sciatic pain ceased within the first trimester. Sciatic pain can result from a sudden increase in the uterus size caused by an early pregnancy coexisting with large fibroids. The sciatic pain may not remain throughout the pregnancy as the growing uterus with large fibroids may be displaced from the site of nerve compression.
子宫肌瘤很常见，尤其是在非洲裔女性中。许多患有子宫肌瘤的女性没有症状，这可能导致对其患病率的低估。有症状的子宫肌瘤表现为月经问题、贫血、不孕、流产、腹部增大、涉及膀胱和肠道的压迫症状（如尿频或便秘），有时还会出现与性交相关的问题。本病例报告描述了一名25岁患有子宫肌瘤的非裔美国女性，她患有放射至左下肢的下背部疼痛，伴有左腿感觉异常和无力。她被诊断为腰椎神经根病、早孕，以及偶然发现的塔尔洛夫囊肿。随着妊娠进展，坐骨神经痛在孕早期消失。坐骨神经痛可能是由早孕与大的子宫肌瘤共存导致子宫大小突然增加引起的。随着怀有大肌瘤的子宫增大，可能会从神经受压部位移位，坐骨神经痛可能不会在整个孕期持续存在。
