Pyramidalis muscle endometriosis in absence of previous surgery

Crespo, R.; Puig, F; Marquina, Isabel

doi:10.1016/j.ijgo.2005.01.027

Cited by 11 publications

(4 citation statements)

References 4 publications

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“…The prevalence of pelvic endometriosis is 6%-10% among women of reproductive age (1), but extrapelvic disease is less common. Muscular endometriosis is a rare condition, and few cases without surgical implantation have been identified in the literature (2)(3)(4)(5)(6). The present case report documents a rare case of endometriosis of the soleus and gastrocnemius muscles associated with moderate dysmenorrhea.…”

mentioning

confidence: 99%

Endometriosis of the soleus and gastrocnemius muscles

Neto

Silva

Barbosa

et al. 2009

Fertility and Sterility

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confidence: 99%

Endometriosis of the soleus and gastrocnemius muscles

Neto

Silva

Barbosa

et al. 2009

Fertility and Sterility

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“…Many studies described endometriosis involving the abdominal wall: within the rectus abdominis muscle and the surgical scar of previous cesarean incision [1], [6], [7], [8], [9], [10]. The involvement of other striated muscles was rarer.…”

Section: Discussionmentioning

confidence: 99%

“…A literature review of extraperitoneal endometriosis revealed varying presentations of the disease [1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15]. Nevertheless, only a very limited number of cases showed involvement of iliac vessels [3], [4], [5] and only two of them had concurrent vascular complication [4], [5].…”

Section: Discussionmentioning

confidence: 99%

Thrombosis of iliac vessels, a rare complication of endometriosis: Case report and review of literature

Chiaramonte

Castorina

et al. 2017

Journal of Advanced Research

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“…Endometriosis of the skeletal muscular system (ESMS) is defined as the presence of endometrial glands or stromal cells in skeletal muscles, bones, or joints. To date, beyond the head muscles, cases with ESMS have been reported in the trunk muscles, extremities muscles, pelvis muscles, and limb joints, including the trapezius muscle [ 9 ], deltoid muscle [ 10 , 11 ], rectus abdominis [ 12 – 39 ], obliquus externus abdominis [ 40 , 41 ], pyramidalis [ 42 ], psoas major muscle and iliopsoas muscle [ 43 – 47 ], piriformis muscle [ 48 – 51 ], internal obturator muscle [ 52 , 53 ], gluteus muscle [ 54 – 59 ], Levator ani and coccygeus [ 60 , 61 ], vastus lateralis muscle [ 62 – 65 ], thigh adductor muscle and gracilis [ 66 ], biceps femoris muscle [ 67 , 68 ], soleus and gastrocnemius [ 69 ], shoulder joint [ 70 ], wrist joint [ 71 ], and knee joint [ 72 , 73 ]. ESMS has highly variable manifestations due to the heterogeneity of lesion location; the symptoms are usually atypical, the pain is often not proportional to the size of the lesion, and sometimes ESMS does not coexist with pelvic endometriosis, which may lead to misdiagnosis or delayed diagnosis, prolonged therapy, or impaired function of the patients [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Endometriosis of the skeletal muscular system (ESMS): a systematic review

Shen

Quan

et al. 2023

BMC Women's Health

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Background Extrapelvic endometriosis occurring at skeletal muscle and joint sites is not rare and is prone to delayed diagnosis and inappropriate treatment. Herein, endometriosis of the skeletal muscular system (ESMS) is systematically reviewed to facilitate early diagnosis and treatment. Methods Literature on ESMS published before March 2022 was retrieved from the Ovid Medline and Web of Science databases, and the major clinical data were extracted for descriptive analysis. Results A total of 62 studies (78 ESMS cases) met these requirements. The ESMS included the abdominal muscles (50.7%), pelvic floor muscles (11.6%), lower limb muscles (11.6%), hip muscles (8.7%), lumbar muscles (7.2%), joints (5.8%), upper limb muscles (2.9%), and shoulder–neck muscles (1.4%). The age was 34.0 ± 7.2 years (range 17–49 years). Approximately 63.8% of patients had at least one previous pelvic surgery, and 76.8% of local symptoms were related to the menstrual cycle. The course of disease was 29.6 ± 25.4 months (range 0.5–96 months). Only 30.3% of the patients sought initial medical advice from gynecologists, while 69.7% sought initial medical advice from a nongynecological physician. Twenty-seven patients underwent fine-needle aspiration (FNA) under ultrasound or CT monitoring, and only 44.4% (12/27) were confirmed to have endometriosis by FNA tissue pathology. Approximately 47.4% (37/78) of the patients had a normal pelvic cavity appearance. Surgical resection was performed in 92.3% (72/78) of the patients, of whom 88.9% (64/72) underwent complete resection of the lesion (negative surgical margin) and 20.8% (15/72) received postoperative hormone therapy. At 16.7 months of follow-up, 83.3%, 13.8%, 2.9%, and four patients had complete response, partial response, recurrence, and permanent function impairment, respectively. Conclusion Endometriosis can occur at almost any site in the musculoskeletal system. For women of reproductive age with catamenial pain or a mass in the musculoskeletal system, endometriosis should be suspected. Fine-needle aspiration can easily lead to missed diagnoses. Surgical resection for negative margins is the main treatment, and permanent impairment of function may occur in a few patients due to delayed diagnosis. Vascular lymphatic metastasis is the most likely mechanism of pathogenesis.

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Pyramidalis muscle endometriosis in absence of previous surgery

Cited by 11 publications

References 4 publications

Endometriosis of the soleus and gastrocnemius muscles

Endometriosis of the soleus and gastrocnemius muscles

Thrombosis of iliac vessels, a rare complication of endometriosis: Case report and review of literature

Endometriosis of the skeletal muscular system (ESMS): a systematic review

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