Endometriosis of the soleus and gastrocnemius muscles

Objective To document a rare case of endometriosis in the soleus and gastrocnemius muscles. Design Case report. Setting Tertiary care center. Patient(s) A 30-year-old fertile woman presented with moderate dysmenorrhea associated with calf pain and bulging that had been gradually worsening over the l...

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Published inFertility and sterility Vol. 91; no. 4; pp. 1294.e13 - 1294.e15
Main Authors Poli-Neto, Omero Benedicto, M.D, Rosa-e-Silva, Júlio César, M.D, Barbosa, Hermes Freitas, M.D, Candido-dos-Reis, Francisco José, M.D, Nogueira, Antonio Alberto, M.D
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2009
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Summary:Objective To document a rare case of endometriosis in the soleus and gastrocnemius muscles. Design Case report. Setting Tertiary care center. Patient(s) A 30-year-old fertile woman presented with moderate dysmenorrhea associated with calf pain and bulging that had been gradually worsening over the last years, particularly during menses. A mass in the soleus and gastrocnemius muscles was identified in ultrasonography and magnetic resonance imaging. Intervention(s) Endometriosis was diagnosed by incisional biopsy on the basis of histopathology, and wide excisional biopsy was performed. Main Outcome Measure(s) Unusual clinical presentation of endometriosis. Result(s) The patient was disease free for 2 months. Recurrence of the lesion was then diagnosed, and a new surgical approach was planned. Conclusion(s) Endometriosis in muscles is a rare event, and existing theories are not totally sufficient in explaining it.
Bibliography:ObjectType-Case Study-2
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ISSN:0015-0282
1556-5653
DOI:10.1016/j.fertnstert.2008.12.014