Source
Department of Surgery and Anatomy, Faculty of Medicine, University of São Paulo, Ribeirão Preto, Brazil.
Abstract
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.