Tissue Loss Secondary to Extrinsic Compression of Common Iliac Artery From Uterine Leiomyoma

Abstract

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.