Perineural spread of endometriosis along the obturator nerve into the adductor thigh compartment

Jpn J Radiol. 2012 Jun;30(5):446-9. doi: 10.1007/s11604-012-0060-0. Epub 2012 Feb 21.

Abstract

We report the case of a young woman with recurrent unilateral hip pain. A polylobular cystic mass was found in the right adductor space. Magnetic resonance imaging (MRI) revealed a polynodular mass migrating from the intrapelvic region along the obturator nerve. Because of a history of cyclic pain and the characteristics on MRI (hypointense rim and spots of spontaneous hyperintense signal on T1-weighted images), an endometrioma was suspected. The diagnosis of endometriosis was later confirmed through ultrasound-guided biopsy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Endometriosis / diagnosis*
  • Endometriosis / pathology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Obturator Nerve*
  • Peripheral Nervous System Diseases / diagnosis*
  • Peripheral Nervous System Diseases / pathology
  • Thigh