PDF(Pubmed)
Abstract：
Uterine fibroids are the most common gynecologic tumors in reproductive-aged women with a prevalence of up to 80%. Symptoms can range from heavy vaginal bleeding and bulk symptoms to, less frequently, deep vein thrombosis and bowel obstruction.
A 32-year-old female patient presented with acute-onset of right groin and knee pain, and difficulty ambulating. A large posterior uterine fibroid was found to be compressing branches of the lumbar plexus, including the obturator nerve. The patient underwent gynecologic evaluation and an urgent laparoscopic myomectomy. Postoperatively, she had significant improvement in neurologic symptoms. She continued physical therapy for residual mild paresthesia and pain with prolonged ambulation.
Large pelvic masses such as uterine fibroids should be considered on the differential diagnosis for acute-onset non-gynecologic symptoms such as compressive neuropathy, which require urgent evaluation and possible surgical management.
A 32-year-old female patient presented with acute-onset of right groin and knee pain, and difficulty ambulating. A large posterior uterine fibroid was found to be compressing branches of the lumbar plexus, including the obturator nerve. The patient underwent gynecologic evaluation and an urgent laparoscopic myomectomy. Postoperatively, she had significant improvement in neurologic symptoms. She continued physical therapy for residual mild paresthesia and pain with prolonged ambulation.
Large pelvic masses such as uterine fibroids should be considered on the differential diagnosis for acute-onset non-gynecologic symptoms such as compressive neuropathy, which require urgent evaluation and possible surgical management.
摘要：
子宫肌瘤是育龄期妇女中最常见的妇科肿瘤，患病率高达80%。症状可以从大量阴道出血和大量症状到，不那么频繁,深静脉血栓形成和肠梗阻。
一名32岁女性患者出现急性右腹股沟和膝关节疼痛，和行走困难。发现一个巨大的子宫后肌瘤压迫了腰丛的分支，包括闭孔神经.该患者接受了妇科评估和紧急腹腔镜子宫肌瘤切除术。术后,她的神经系统症状有了显著改善.她继续进行物理治疗，以治疗残留的轻度感觉异常和长时间行走的疼痛。
■对于急性非妇科症状，如压迫性神经病，在鉴别诊断时，应考虑子宫肌瘤等盆腔大肿块，这需要紧急评估和可能的手术管理。
一名32岁女性患者出现急性右腹股沟和膝关节疼痛，和行走困难。发现一个巨大的子宫后肌瘤压迫了腰丛的分支，包括闭孔神经.该患者接受了妇科评估和紧急腹腔镜子宫肌瘤切除术。术后,她的神经系统症状有了显著改善.她继续进行物理治疗，以治疗残留的轻度感觉异常和长时间行走的疼痛。
■对于急性非妇科症状，如压迫性神经病，在鉴别诊断时，应考虑子宫肌瘤等盆腔大肿块，这需要紧急评估和可能的手术管理。
