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A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report
Extra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen infe...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139941/ https://www.ncbi.nlm.nih.gov/pubmed/35626236 http://dx.doi.org/10.3390/diagnostics12051080 |
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author | Siow, Co Yih Chen, Kuan-Lin |
author_facet | Siow, Co Yih Chen, Kuan-Lin |
author_sort | Siow, Co Yih |
collection | PubMed |
description | Extra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen inferior gemellus muscle with hematoma initially diagnosed with ultrasonography and later confirmed with magnetic resonance imaging (MRI) scan. Ultrasound revealed a swollen muscle with hematoma between the ischial tuberosity and the medial surface of the greater trochanter of the femur. MRI scan showed edematous change with an increased enhancement of the right inferior gemellus muscle. Ultrasound could be used to diagnose inferior gemellus pathology, but the muscle is easy to miss. Therefore, MRI could be preferred for conditions that impact deep or large areas in confirming inferior gemellus pathology. |
format | Online Article Text |
id | pubmed-9139941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91399412022-05-28 A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report Siow, Co Yih Chen, Kuan-Lin Diagnostics (Basel) Case Report Extra-spinal causes of sciatic pain are normally underdiagnosed, as they are extremely uncommon. Although pyriformis syndrome is recognized as one of the main causes of sciatic pain, other pelvic muscles that could cause sciatic pain are often overlooked. The present article describes a swollen inferior gemellus muscle with hematoma initially diagnosed with ultrasonography and later confirmed with magnetic resonance imaging (MRI) scan. Ultrasound revealed a swollen muscle with hematoma between the ischial tuberosity and the medial surface of the greater trochanter of the femur. MRI scan showed edematous change with an increased enhancement of the right inferior gemellus muscle. Ultrasound could be used to diagnose inferior gemellus pathology, but the muscle is easy to miss. Therefore, MRI could be preferred for conditions that impact deep or large areas in confirming inferior gemellus pathology. MDPI 2022-04-26 /pmc/articles/PMC9139941/ /pubmed/35626236 http://dx.doi.org/10.3390/diagnostics12051080 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Siow, Co Yih Chen, Kuan-Lin A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title_full | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title_fullStr | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title_full_unstemmed | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title_short | A Swollen Inferior Gemellus Muscle with Hematoma Mimics Sciatica—A Case Report |
title_sort | swollen inferior gemellus muscle with hematoma mimics sciatica—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139941/ https://www.ncbi.nlm.nih.gov/pubmed/35626236 http://dx.doi.org/10.3390/diagnostics12051080 |
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