子宫肌瘤是育龄妇女最常见的妇科肿瘤，患病率高达80%。症状包括大量阴道出血和大量症状，以及较少见的深静脉血栓和肠梗阻。 一名 32 岁的女性患者出现急性发作的右侧腹股沟和膝盖疼痛以及行走困难。发现一个巨大的子宫后肌瘤压迫腰丛分支，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，她的神经症状明显改善。她继续对残留的轻度感觉异常和长时间行走时的疼痛进行物理治疗。在急性发作的非妇科症状（如压迫性神经病）的鉴别诊断中，应考虑子宫肌瘤等大盆腔肿块，需要紧急评估和可能的手术治疗。 © 2023 SLS，腹腔镜协会

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.© 2023 by SLS, Society of Laparoscopic & Robotic Surgeons.