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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...

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Autores principales: Siow, Co Yih, Chen, Kuan-Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
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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.
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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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