Resolution of a leg ulcer after hysterectomy for huge uterine myoma.
Venous ulcers are the most common type of leg ulcers, accounting for 80% to 90% of cases. We report a large, therapy-resistant ulcer present for three months on the right leg of a 44-year-old woman who also had a huge uterine myoma. Without any other treatment, the leg ulcer regressed spontaneously three months after a hysterectomy for the uterine myoma that had been demonstrated in a CT image to be compressing the right common iliac vein in the pelvis. Uterine myoma can become the cause of venous insufficiency of the leg, when it is big enough to disturb the blood circulation in the pelvis in individuals who have incompetent perforating veins.
Ohtani
Tomoyuki
T
Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan.
Tanita
Muneo
M
Tagami
Hachiro
H
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007889:Leiomyoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014647:Varicose Ulcer / Q000209:etiology* / Q000503:physiopathology; D014945:Wound Healing / Q000502:physiology