Key result
Urgent iliac thrombectomy, tumor resection, and endovascular iliac stent placement successfully treated acute right lower limb ischemia caused by common iliac artery compression from a uterine leiomyoma.
Case Report (n=1)
No
This case highlights that acute arterial ischemia can rarely be caused by extrinsic compression from a uterine leiomyoma, requiring preoperative imaging and correction of the underlying etiology.
Answers are grounded in this paper and cite their sources.
Consider rare leiomyoma compression in acute limb ischemia differentials; single case leaves open systematic evaluation of prevalence and management.
BACKGROUND: Uterine leiomyomas are commonly reported to cause deep venous thrombosis and rarely arterial compression. CASE: 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. CONCLUSION: 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.
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Reynolds et al. (2012) conducted a case report in Acute right lower limb ischemia and tissue loss secondary to extrinsic compression of common iliac artery from uterine leiomyoma (n=1). Urgent iliac thrombectomy, tumor resection, and endovascular iliac stent placement was evaluated on Successful treatment of arterial compression. Urgent iliac thrombectomy, tumor resection, and endovascular iliac stent placement successfully treated acute right lower limb ischemia caused by common iliac artery compression from a uterine leiomyoma.
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