Retroperitoneal endometriosis causing unilateral hip pain
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Retroperitoneal endometriosis presenting as cyclic hip pain was diagnosed via CT-guided biopsy and treated with laparotomy and arthroscopy, resolving the patient's symptoms.
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Abstract
BACKGROUND: The usual symptoms of endometriosis are secondary dysmenorrhea, dyspareunia, and infertility, but when located in the retroperitoneal space, it might have atypical symptoms that delay diagnosis and postpone therapy. CASE: A young nulligravida presented with secondary dysmenorrhea and concurrent cyclic hip pain. Recent laparoscopy was reportedly normal. Computed tomography (CT)-directed percutaneous needle biopsy of a retroperitoneal mass showed endometriosis. Laparotomy with retroperitoneal dissection removed the endometriosis, and operative arthroscopy released strictured hip tendons improving her hip pain and limp. CONCLUSION: Retroperitoneal endometriosis presenting as hip pain was diagnosed by CT-guided percutaneous needle biopsy permitting removal by a multidisciplinary surgical approach.
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References (7)
- Cyclic Sciatica via openalex
- Cyclic Sciatica via openalex
- Endometriosis of the sciatic nerve: a report of two cases and a review of the literature. via openalex
- Footdrop due to sciatic nerve endometriosis via openalex
- Interleukin-6: another piece of the endometriosis-cytokine puzzle via openalex
- Novak's Gynecology via openalex
- Phantom endometriosis of the sciatic nerve via openalex
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:13:19.284922+00:00
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