Ischiogluteal bursitis mimicking soft-tissue metastasis from a renal cell carcinoma

Völk, Markus; Gmeinwieser, J.; Hanika, H; Manke, C.; Strotzer, M.

doi:10.1007/s003300050522

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…Ischiogluteal bursitis, when it occurs in cancer patients, it may clinically mimic a soft-tissue or bone metastasis from the primary malignancy (7, 8). Whenever the possibility of tumor is in the differential diagnosis, biopsy or surgical intervention should be performed for confirmation.…”

Section: Discussionmentioning

confidence: 99%

“…Tuberculosis, gout, rheumatoid arthritis, systemic lupus erythematosus, ankylosing spondylitis and Reiter's syndrome have also been reported to involve the ischiogluteal bursa (2-8, 10, 15, 16). …”

Section: Discussionmentioning

confidence: 99%

“…The pain and impaired ambulation that are due to ischiogluteal bursitis, and especially in the elderly, can drastically effect the sufferers' sense of well-being and general health (4). In addition, ischiogluteal bursitis may result in a misplaced clinical diagnosis as arthritis, or as a peri-rectal mass or neoplasm, especially when the buttock pain occurs in those patients with known malignancies (5-8). In these challenging clinical situations, MRI is the imaging modality of choice.…”

mentioning

confidence: 99%

“…In these challenging clinical situations, MRI is the imaging modality of choice. To the best of our knowledge, a clinical study on the MRI findings of ischiogluteal bursitis has not been reported in the literature, although there are reports on the ultrasound findings (9), and there are brief mentioning of the CT (5, 8-10) and MRI findings (6, 9, 11). …”

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confidence: 99%

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Non-Infectious Ischiogluteal Bursitis: MRI Findings

Cho

Lee

et al. 2004

Korean J Radiol

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ObjectiveWe wished to report on the MRI findings of non-infectious ischiogluteal bursitis.Materials and MethodsThe MRI findings of 17 confirmed cases of non-infectious ischiogluteal bursitis were analyzed: four out of the 17 cases were confirmed with surgery, and the remaining 13 cases were confirmed with MRI plus the clinical data.ResultsThe enlarged bursae were located deep to the gluteus muscles and postero-inferior to the ischial tuberosity. The superior ends of the bursal sacs abutted to the infero-medial aspect of the ischial tuberosity. The signal intensity within the enlarged bursa on T1-weighted image (WI) was hypo-intense in three cases (3/17, 17.6%), iso-intense in 10 cases (10/17, 58.9%), and hyper-intense in four cases (4/17, 23.5%) in comparison to that of surrounding muscles. The bursal sac appeared homogeneous in 13 patients (13/17, 76.5%) and heterogeneous in the remaining four patients (4/17, 23.5%) on T1-WI. On T2-WI, the bursa was hyper-intense in all cases (17/17, 100%); it was heterogeneous in 10 cases and homogeneous in seven cases. The heterogeneity was variable depending on the degree of the blood-fluid levels and the septae within the bursae. With contrast enhancement, the inner wall of the bursae was smooth (5/17 cases), and irregular (12/17 cases) because of the synovial proliferation and septation.ConclusionIschiogluteal bursitis can be diagnosed with MRI by its characteristic location and cystic appearance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Non-Infectious Ischiogluteal Bursitis: MRI Findings

Cho

Lee

et al. 2004

Korean J Radiol

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“…In addition, ischiogluteal bursitis can also mimic muscle metastasis clinically and radiologically [41]. Furthermore, ischiogluteal bursitis occurs frequently in cancer patients [42].…”

Section: Radiological Features and Differential Diagnoses Of Smmmentioning

confidence: 99%

Skeletal muscle metastases: primary tumours, prevalence, and radiological features

et al. 2009

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MR findings of synovial disease in children and young adults: Part 2

et al. 2011

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Synovium is the thin membranous lining of a joint. It produces synovial fluid, which lubricates and nourishes the cartilage and bone in the joint capsule. Synovial diseases in children can be classified as normal structures as potential sources of pathology (synovial folds: plicae, infrapatellar fat pad clefts), noninfectious synovial proliferation (juvenile idiopathic arthritis, hemophilic arthropathy, lipoma arborescens, synovial osteochondromatosis, pigmented villonodular synovitis, reactive synovitis), infectious synovial proliferation (pyogenic arthritis, tuberculous arthritis), deposition disease (gouty arthropathy), vascular malformation, malignancy (metastasis) and intra-/periarticular cysts and cyst-like structures. Other intra-articular neoplasms, such as intra-articular synovial sarcoma, can mimic synovial disease in children.

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Ischiogluteal bursitis mimicking soft-tissue metastasis from a renal cell carcinoma

Cited by 17 publications

References 5 publications

Non-Infectious Ischiogluteal Bursitis: MRI Findings

Non-Infectious Ischiogluteal Bursitis: MRI Findings

Skeletal muscle metastases: primary tumours, prevalence, and radiological features

MR findings of synovial disease in children and young adults: Part 2

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