scholarly journals An Unusual Case of Leg Pain in a Competitive Cyclist

2014 ◽  
Vol 6 (6) ◽  
pp. 492-496 ◽  
Author(s):  
Dror Lindner ◽  
Gabriel Agar ◽  
Benjamin Gilbert Domb ◽  
Yiftah Beer ◽  
Idit Shub ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Complete Resolution ◽  
Unusual Case ◽  
External Iliac Artery ◽  
Lower Limbs ◽  
Leg Pain ◽  
Overuse Injuries ◽  
Competitive Cyclists ◽  
History Of ◽  
Impact Sport

Cycling has become a popular recreational and competitive sport. The number of people participating in the sport is gradually increasing. Despite being a noncontact, low-impact sport, as many as 85% of athletes engaged in the sport will suffer from an overuse injury, with the lower limbs comprising the majority of these injuries. Up to 20% of all lower extremity overuse injuries in competitive cyclists are of a vascular source. A 39-year-old competitive cyclist had a 5-year history of thigh pain during cycling, preventing him from competing. The patient was eventually diagnosed with external iliac artery endofibrosis. After conservative treatment failed, the patient underwent corrective vascular surgery with complete resolution of his symptoms and return to competitive cycling by 1 year. Since its first description in 1985, there have been more than 60 articles addressing external iliac artery endofibrosis pathology.

scholarly journals External Iliac Artery Vasospasm in an Elite Female Runner

2016 ◽  
Vol 9 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Kristin L. Garlanger ◽  
Elena J. Jelsing ◽  
Jonathan T. Finnoff
Keyword(s):  
Iliac Artery ◽  
Sports Medicine ◽  
Multidisciplinary Approach ◽  
Tertiary Care ◽  
External Iliac Artery ◽  
Leg Pain ◽  
Chronic Exertional Compartment Syndrome ◽  
Female Runner ◽  
Exertional Compartment Syndrome ◽  
History Of

A 33-year-old elite female runner presented to a tertiary care sports medicine clinic with a 2-year history of progressive anterior thigh and circumferential leg pain with associated foot paresthesias brought on by high-intensity running. She had both external iliac artery vasospasm and chronic exertional compartment syndrome. External iliac artery vasospasm is a rare cause of exertional leg pain, particularly in the running population. This case highlights the unique features of this condition, addresses the multidisciplinary approach that led to the accurate diagnoses, and demonstrates that more than 1 etiology for exertional leg pain can coexist in an athlete.

scholarly journals Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 321-323
Author(s):  
Ballal Mamatha ◽  
Shetty Vignesh ◽  
Agarwal Manali ◽  
Nayal Bhavna ◽  
Umakanth Shashikiran
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Giardia Lamblia ◽  
Complete Resolution ◽  
Unusual Case ◽  
Peripheral Eosinophilia ◽  
Short Trip ◽  
Eosinophilic Ascites ◽  
History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

Silent sinus syndrome: an unusual case of facial numbness

2018 ◽  
Vol 18 (6) ◽  
pp. 494-496 ◽  
Author(s):  
Samuel Tribich ◽  
Colin J Mahoney ◽  
Nicholas W Davies
Keyword(s):  
Maxillary Sinus ◽  
Complete Resolution ◽  
Unusual Case ◽  
Clinical Context ◽  
Blurred Vision ◽  
Silent Sinus Syndrome ◽  
Osteomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Facial Numbness ◽  
History Of

A 49-year-old man presented with a 1-week history of right facial paraesthesia with blurred vision and diplopia. Examination was normal apart from reduced facial sensation. Following appropriate neuroimaging, we considered a diagnosis of silent sinus syndrome. He underwent a middle meatal antrostomy with complete resolution of symptoms. Silent sinus syndrome results from occlusion of the osteomeatal complex, preventing normal aeration of the maxillary sinus. Maxillary sinus hypoventilation typically causes inferior displacement of the globe in the orbit (unilateral hypoglobus). Neurologists will only infrequently see people with silent sinus syndrome but it can have devastating consequences if left untreated and so must be considered in the appropriate clinical context.

scholarly journals Traumatic occlusion of the external iliac artery in a racing cyclist: a cause of ill defined leg pain.

1997 ◽  
Vol 31 (2) ◽  
pp. 155-156 ◽  
Author(s):  
A J Taylor ◽  
W G Tennant ◽  
M E Batt ◽  
W A Wallace
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Leg Pain

An Extremely Rare Disconnection of the External Iliac Artery and Novel Collateral Remodeling in an Endometrial Stromal Sarcoma Woman

2021 ◽  
Author(s):  
Shixuan Wang ◽  
Ting Zhou ◽  
Nan Yu ◽  
Ronghua Liu
Keyword(s):  
Iliac Artery ◽  
Lower Limb ◽  
External Iliac Artery ◽  
Endometrial Stromal Sarcoma ◽  
Lessons Learned ◽  
Lower Limbs ◽  
Arterial Blood Flow ◽  
Stromal Sarcoma ◽  
Arterial Blood ◽  
Left Lower Limb

Abstract Background: Injury to the external iliac artery (EIA) can have serious consequences and can be extremely challenging for surgeons. Here, we report a patient with bizarre disconnection of the external iliac artery during a laparoscopic operation.Case presentation: On May 27, 2020, during a laparoscopic pelvic lymphadenectomy operation to treat endometrial stromal sarcoma, we encountered an unusual anatomy: abnormal disconnection of the left external iliac artery in a 26-year-old female patient. The proximal and distal ends of the left external iliac artery demonstrated old narrowing without active bleeding, and the distance between the two disconnected ends was more than 3 cm. The scenario was surprising to the entire staff in the operating theater. After a comprehensive assessment of skin temperature, arterial pulsation and arterial blood flow, a multidisciplinary team (MDT) determined that collateral circulation of the left lower limb had been established and could meet the blood supply of the lower limbs, which was also confirmed three times by computed tomography angiography (CTA) and Doppler ultrasound of the blood vessels in the abdomen and lower limbs. Eleven months after the operation, the patient had no obvious abnormality, and the daily activities of the left lower limb were not affected. Follow-up after treatment for the patient is still in progress.Conclusions: We describe the details of the whole case of disconnection of the external iliac artery. We hope to summarize the experience and lessons learned through this case and a relevant literature review to improve the safety and orderliness of our future clinical work.

Spontaneous Common Iliac Artery Dissection after Exercise

2003 ◽  
Vol 10 (1) ◽  
pp. 163-166 ◽  
Author(s):  
Lip Gen Teh ◽  
Kishore Sieunarine ◽  
Greg van Schie ◽  
Thodur Vasudevan
Keyword(s):  
Iliac Artery ◽  
High Performance ◽  
Common Iliac Artery ◽  
False Lumen ◽  
External Iliac Artery ◽  
Acute Onset ◽  
Leg Pain ◽  
Artery Dissection ◽  
Entry Site ◽  
Vigorous Exercise

Purpose: To review the clinical features and management of spontaneous iliac dissections. Case Report: A healthy 60-year-old competitive cyclist presented with acute onset of short-distance claudication following vigorous exercise. Angiography showed a dissection flap extending from the right common iliac artery to the external iliac artery. An uncovered stent was placed across the proximal entry site but did not obliterate the false lumen; open surgical intervention was required. Conclusions: Spontaneous dissection of the iliac artery is a rare but important condition to suspect in high performance athletes complaining of leg pain following exercise.

scholarly journals Lower limb vascular dysfunction in cyclists

2013 ◽  
Vol 12 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Thiago Ayala Melo Di Alencar ◽  
Karinna Ferreira de Sousa Matias ◽  
Bruno do Couto Aguiar
Keyword(s):  
Blood Flow ◽  
Iliac Artery ◽  
Lower Limb ◽  
Vascular Dysfunction ◽  
External Iliac Artery ◽  
Signs And Symptoms ◽  
Musculoskeletal Injuries ◽  
Lower Limbs ◽  
Medical Team ◽  
Vascular Insufficiency

Sports-related vascular insufficiency affecting the lower limbs is uncommon, and early signs and symptoms can be confused with musculoskeletal injuries. This is also the case among professional cyclists, who are always at the threshold between endurance and excess training. The aim of this review was to analyze the occurrence of vascular disorders in the lower limbs of cyclists and to discuss possible etiologies. Eighty-five texts, including papers and books, published from 1950 to 2012, were used. According to the literature reviewed, some cyclists receive a late diagnosis of vascular dysfunction due to a lack of familiarity of the medical team with this type of dysfunction. Data revealed that a reduced blood flow in the external iliac artery, especially on the left, is much more common than in the femoral and popliteal arteries, and that vascular impairment is responsible for the occurrence of early fatigue and reduced performance in cycling.

scholarly journals Transverse Abdominal Plane Neurostimulation for Chronic Abdominal Pain: A Novel Technique

2014 ◽  
Vol 5;17 (5;9) ◽  
pp. E619-E622 ◽  
Author(s):  
Mayank Gupta
Keyword(s):  
Abdominal Pain ◽  
Pain Relief ◽  
Complete Resolution ◽  
Dorsal Column ◽  
Chronic Abdominal Pain ◽  
Sensory Nerves ◽  
Leg Pain ◽  
Lower Back ◽  
Transverse Abdominis ◽  
History Of

Management of chronic abdominal pain can be challenging. Sometimes patients fail to get adequate response from multiple medications and nerve blocks. We present a patient case report of chronic abdominal pain with a history of multiple surgeries managed successfully by neuromodulation of the transverse abdominis plane (TAP). The TAP block is a procedure in which local anesthetic is injected into the abdominal fascial plane that carries sensory nerves to the abdominal wall in order to block pain sensation. It has been shown to reduce postoperative pain and analgesic dependence after abdominal and gynecological surgeries. A 60-year-old woman presented to us for chronic abdominal pain for which medications provided little relief. She had an extensive history of abdominal surgeries and was also treated for lower back pain with surgery and less invasive procedures in the past. Under our care, she underwent 2 TAP blocks with almost complete resolution of her abdominal pain. Her pain, however, came back within a few of weeks of the procedures. Since our patient found pain relief from the TAP blocks, we proceeded with neurostimulation of the TAP for long-term pain relief. We placed a dorsal column stimulator 16 contact lead for lower back and leg pain and 8 contact leads placed in the TAP under ultrasound guidance. She has had multiple follow-ups since her TAP lead placement procedure with continued and near complete resolution of her abdominal pain. The TAP lead stimulation was helping her abdominal pain and the dorsal column lead stimulation was helping her back and leg pain. Key words: Chronic abdominal pain, neuromodulation, transverse abdominis plane, ultrasound, transverse abdominis plane block, multiple abdominal surgeries

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