Retroperitoneal Endometriosis Causing Unilateral Hip Pain

Sarosh Rana, R. Stanhope, Thomas A. Gaffey, B.F. Morrey, Daniel A. Dumesic
In: Obstetrics & Gynecology · 2001 · vol. 98(5, Part 2) , pp. 970–972 · doi:10.1097/00006250-200111001-00034 · W4251907166
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Retroperitoneal endometriosis presented atypically as cyclic hip pain in a young woman, diagnosed by CT-guided biopsy, and treated with laparotomy and arthroscopy.

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Abstract

In Brief 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. Retroperitoneal endometriosis causing hip pain can be identified by computed tomography-directed percutaneous needle biopsy.

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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