A Case of Psoas Muscle Endometriosis: A Distinct Approach to Diagnosis and Management

Lingjun Zhao; Ping Wang; Fumin Zhao; Weilu Wu

doi:10.1016/j.jmig.2018.03.036

A Case of Psoas Muscle Endometriosis: A Distinct Approach to Diagnosis and Management

J Minim Invasive Gynecol. 2018 Nov-Dec;25(7):1305-1308. doi: 10.1016/j.jmig.2018.03.036. Epub 2018 May 27.

Authors

Lingjun Zhao¹, Ping Wang², Fumin Zhao³, Weilu Wu⁴

Affiliations

¹ Department of Gynecology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
² Department of Gynecology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.. Electronic address: wangping_886@126.com.
³ Department of Radiology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
⁴ Department of Pathology, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Disease of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.

PMID: 29842938
DOI: 10.1016/j.jmig.2018.03.036

Abstract

Endometriosis is a common disease in women of childbearing age. Here, we report a case of psoas muscle endometriosis and our approach to treatment. A 28-year-old woman presented with an 8-month history of lower left abdominal and back pain. She was incorrectly diagnosed and treated for a psoas abscess at a previous hospital. Based on imaging results and previous history of severe dysmenorrhea, a diagnosis of psoas muscle endometriosis was considered. The patient underwent treatment with gonadotropin-releasing hormones and laparoscopic surgery and currently reports alleviation of symptoms. Psoas muscle endometriosis is rare, and the diagnosis can be difficult. It is important to recognize signs and symptoms to determine adequate treatment.

Keywords: Deep infiltrating endometriosis; Laparoscopic surgery; Pain.

Publication types

Case Reports

MeSH terms

Adult
Endometriosis / pathology
Endometriosis / therapy*
Female
Gonadotropin-Releasing Hormone / therapeutic use*
Humans
Laparoscopy* / methods
Psoas Muscles / pathology*
Treatment Outcome

Substances

Gonadotropin-Releasing Hormone