Endometriosis of the Pelvis Presenting as Hip Pain

Marc D. Silver, Peter Jokl
In: Clinical Orthopaedics and Related Research · 1999 · vol. 368 , pp. 207???211 · doi:10.1097/00003086-199911000-00025 · W2036480267
article OA: closed CC0 ⤵ 2 in-corpus citations
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This case describes a young woman whose bilateral hip pain was diagnosed as endometriosis of the pelvis, resolving completely after hormonal suppressive therapy.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-17 · read from full text ⓘ

This case report describes a young woman who experienced chronic bilateral hip pain for several years, initially presenting to an orthopaedic specialist. Magnetic resonance imaging revealed that the symptoms were caused by bilateral intrapelvic endometriosis located adjacent to both acetabula, which mimicked common musculoskeletal issues. The patient was subsequently treated with cyclic hormonal suppressive therapy by her gynecologist, resulting in the complete resolution of her symptoms upon follow-up. This paper is centrally about endometriosis — specifically illustrating how pelvic endometriosis can present as atypical hip pain and be successfully managed with hormonal therapy.

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Abstract

Endometriosis is a disorder resulting from the presence of actively growing and functioning endometrial tissue in aberrant sites outside the uterus. Ectopic implantation of the endometrium can be located throughout the pelvic cavity. Depending on the location of the endometriosis, it can mimic common musculoskeletal problems, especially in young women who are menstruating. A young woman presented to an orthopaedic specialist with bilateral hip pain for the last several years. Magnetic resonance imaging subsequently was performed on both hips and showed evidence of bilateral intrapelvic endometriosis adjacent to both acetabula. The patient was seen by her gynecologist, who prescribed cyclic hormonal suppressive therapy. On followup visit to the orthopaedist, the patient's symptoms had resolved completely.
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Endometriosis of the Pelvis Presenting as Hip Pain A Case Report - Marc D. Silver - Peter Jokl Endometriosis is a disorder resulting from the presence of actively growing and functioning endometrial tissue in aberrant sites outside the uterus. Ectopic implantation of the endometrium can be located throughout the pelvic cavity. Depending on the location of the endometriosis, it can mimic common musculoskeletal problems, especially in young women who are menstruating. A young woman presented to an orthopaedic specialist with bilateral hip pain for the last several years. Magnetic resonance imaging subsequently was performed on both hips and showed evidence of bilateral intrapelvic endometriosis adjacent to both acetabula. The patient was seen by her gynecologist, who prescribed cyclic hormonal suppressive therapy. On followup visit to the orthopaedist, the patient's symptoms had resolved completely.

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endometriosis

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