Cysts of the Ilio-Psoas Bursa

Gatch, W. D.; Green, W. T.

doi:10.1097/00000658-192508000-00015

Cited by 27 publications

(7 citation statements)

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“…An occasional mention of increased incidence of cystic structures in the hip region in patienls with arthritic changes of the hip has been reported (4,7,14), but no one has clearly described the occurrence of synovial cyst of the hip in the patient with rheumatoid arthritis, except Coventry et a1 (3) who reported 3 cases, and Watson and Ochsner (5) who reported 1.…”

Section: Discussionmentioning

confidence: 99%

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Rheumatoid Synovial Cyst of the Hip. A Case Report

Samuelson¹,

Ward²,

Albo³

1971

Arthritis & Rheumatism

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Synovial cysts are not uncommon in rheumatoid arthritis. These periarticular herniations of the synovialis are not difficult to diagnose in peripheral joints but have rarely been identified in the hips. A patient who presented with femoroinguinal swelling is presenteb. This swelling proved to be a synovial cyst originating from the hip joint. The diagnosis of synovial cyst should be considered whenever femoroinguinal swelting occurs in a patient with rheumatoid arthritis.

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Section: Discussionmentioning

confidence: 99%

“…In order to gain better exposure, a hernia-type incision was made in the groin. 4 cystic mass was found beneath the transversalis fascia which extended under the inguinal ligament. On opening the mass, rice bodies were found floating in a cloudy fluid.…”

Section: Case Reportmentioning

confidence: 99%

Rheumatoid Synovial Cyst of the Hip. A Case Report

Samuelson¹,

Ward²,

Albo³

1971

Arthritis & Rheumatism

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“…Fricke first described the iliopsoas bursitis in 1834. 2) It is most commonly observed by the result of rheumatoid arthritis, osteoarthritis, hip join replacement, and less often by septic arthritis, dialysis related amyloidosis, and pigmented villous nodular synovitis. However, 30% of the patients have no history of those disease.…”

Section: Case Reportmentioning

confidence: 99%

A Case of External Compression of Femoral Vein by the Enlarged Iliopsoas Bursa with Long Term Edema

Natsume

Yamamoto

Tanaka

et al. 2015

Annals of Vascular Diseases

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The iliopsoas bursa is the largest bursa in the region of hip joint. It is unusual that these bursa become symptomatic. However the bursa can compress femoral vein, leading to lower extremity edema. A 58-year-old man was referred to our department for his unilateral leg edema which had been treated as deep vein thrombosis without any favorable response. Magnetic resonance angiography was performed, which demonstrated enlarged iliopsoas bursa compressing his femoral vein. Surgical removal of the bursa was performed. The postoperative course was uneventful, and the patient is free from symptoms with no evidence of recurrence.Key words: iliopsoas bursa, lower extremity edema, femoral vein compression extremity. He consulted our cardiologist and the ultrasound technique (US) was performed. This revealed the incompressibility of left femoral vein under compression with the probe, the presence of a slightly echogenic mass, and the lack of venous distension with a Valsalva maneuver. From these findings, he was diagnosed to have DVT and given anticoagulant therapy, which had no effect on his symptoms. So he was consulted to our department. His left lower extremity was swollen with a tender mass, 30 mm × 10 mm in diameter, localized at his left groin. The circumference of his thighs were 45 cm on the right and 50 cm on the left (Fig. 1A). He has not had any medical history related to his hip joint. We performed US again and computed tomographic (CT) scan. They showed cystic lesion compressing his left femoral vein laterally (Fig. 1B, C). Magnetic resonance angiography (MRA) was also performed, which clearly demonstrated cystic lesion connected to the iliopsoas muscle compressing femoral vein externally (Fig. 1D). From these findings, we diagnosed the enlarged iliopsoas bursa compressing his femoral vein as the cause of the edema of his left lower extremity, mimicking the symptoms of deep vein thrombosis. At operation, femoral vein was found to be surrounded by the bursa which was difficult to be resected completely. We opened the bursa which was filled with the viscous fluid (Fig. 2). After evacuation of fluid, we resected the bursa as completely as possible, leaving the region which adhered strictly to the venous wall. By this procedure, reexpansion of the compressed femoral vein was obtained. Postoperative course was uneventful. The edema resolved as indicated by the decrease of his left thigh circumference from 50 cm preoperatively to 47 cm postoperatively, and his symptoms completely disappeared. At 1-year follow-up he is free of symptoms with no evidence of recurrence.

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“…14,15], tuberculosis, syphilis [5,14], hip arthroplasty [16], or to complications such as infection or prosthetic loosening after operations on the hip. Les auteurs rapportent le cas d'une infection de la bourse sbreuse du psoas.…”

Section: Summary We Report a Case O F Infective Iliopsoas Bursitis mentioning

confidence: 99%