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Fertil Steril. 2009 Apr;91(4):1294.e13-5. doi: 10.1016/j.fertnstert.2008.12.014. Epub 2009 Jan 18.

Endometriosis of the soleus and gastrocnemius muscles.

Author information

1
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.

[Indexed for MEDLINE]

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