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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (3): 446-448    DOI: 10.31083/j.ceog.2020.03.5345
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Ulcus cruris caused by a giant pelvic mass: A case report
P.C. Goksedef1, S. Gökce1, D. Herkiloglu1, *(), S. Ermin2, M. Ekmez2
1Gynaecology and Obstetrics Department, Istanbul Yeni Yüzyıl University Gaziosmanpasa Hospital, Istanbul, Turkey
2Gynaecology and Obstetrics Department, Haseki Training and Research Hospital, Istanbul, Turkey
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Abstract  

Background: The cause of most leg ulcers is vascular insufficiency. The most common are arterial and venous leg ulcers. Case Summary: We report a large therapy-resistant ulcer present for a year on the right leg of a 42-year-old woman who also had a large uterine myoma. In this case, we suspected that the uterine myoma was compressing the right common iliac vein and caused leg ulcer. It regressed approximately three months after a myomectomy, and no further treatment was required. Conclusion: In individuals with insufficient collateral vessels, a large uterine myoma can be the cause of venous insufficiency in the leg when it compresses the pelvic vessels enough to disrupt circulation.

Key words:  Giant mass      Myomectomy      Ulcus cruris      Leg ulcers     
Submitted:  06 August 2019      Accepted:  16 October 2019      Published:  15 June 2020     
*Corresponding Author(s):  DILSAD HERKILOGLU     E-mail:  dilsadherkiloglu@hotmail.com

Cite this article: 

P.C. Goksedef, S. Gökce, D. Herkiloglu, S. Ermin, M. Ekmez. Ulcus cruris caused by a giant pelvic mass: A case report. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 446-448.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.03.5345     OR     https://ceog.imrpress.com/EN/Y2020/V47/I3/446

Figure 1.  — Ulcus cruris as viewed on the operation table.

Figure 2.  — A large uterine leiomyoma being removed during the operation.

Figure 3.  — The patient’s ulcus cruris at postoperative week 1.

Figure 4.  — The patient’s ulcus cruris had regressed as seen at the 2-mo postoperative follow-up.

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