Ministry of Health Malaysia, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia.
Department of Surgery, KPJ Johor Specialist Hospital, Johor Bahru, Malaysia.
BMJ Case Rep. 2023 Aug 17;16(8):e253129. doi: 10.1136/bcr-2022-253129.
A woman in her early 50s with uncontrolled diabetes mellitus and a huge uterine fibroid presented to the emergency department with diabetic ketoacidosis and bilateral acute lower limb ischaemia. Vascular and advanced imaging studies confirmed distal aortic compression by a huge uterine fibroid, resulting in extensive lower limb arterial thrombosis. After resuscitation, the patient underwent emergency hysterectomy, thromboembolectomy and amputation of the right leg. She remained critically ill and died of fulminant sepsis and multiorgan failure 10 days later. This case reports the effects of external vascular compression by a large pelvic mass.
一位 50 岁出头的女性，患有未控制的糖尿病和巨大的子宫肌瘤，因糖尿病酮症酸中毒和双侧急性下肢缺血而到急诊科就诊。血管和高级影像学研究证实，巨大的子宫肌瘤压迫远端主动脉，导致广泛的下肢动脉血栓形成。在复苏后，患者接受了紧急子宫切除术、血栓切除术和右腿截肢术。她仍然病情危急，10 天后死于暴发性脓毒症和多器官衰竭。本病例报告了大盆腔肿块对外周血管的压迫作用。
