Ulcus cruris caused by a giant pelvic mass: A case report

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.