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An atypical case of iliopsoas bursitis with ovarian cyst rupture in the fmf patient: radiological and clinical findings

Author: 
Duygu Kara, Murat Bozkurt, and Ahmet Said Çil
Subject Area: 
Health Sciences
Abstract: 

FMF is characterized by recurrent fever, peritonitis, arthritis, pleuritis and secondary amyloidosis. Iliopsoas bursitis due to its unspecific symptomatology is an often-underdiagnosed entity in the chronic pelvic pain. Also one of the reason of the acute pelvic pain in reproductive age is ovarian cyst rupture. A 22 year old woman with FMF disease admitted to obstetric and gynecology department with chronic right hip and pelvic pain. Transvaginal sonographic examination showed free fluid in the pouch of Douglas that was presumed ovarian cyst rupture. The patient was referred for MRI examination because of chronic hip pain which showed the iliopsoas bursitis communicating with the coxofemoral joint. To the best of our knowledge, this is the first case in the literature which presented with acute pelvic pain and chronic hip pain with ovarian cyst rupture and iliopsoas bursitis in FMF patient.

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