An Unusual Association: Iliopsoas Bursitis Related to Calcium Pyrophosphate Crystal Arthritis

Overview

Journal Case Rep Rheumatol

Publisher Wiley

Date 2015 Nov 10

PMID 26550514

Citations 3

Authors

Marco Di Carlo

Antonella Draghessi

Marina Carotti

Fausto Salaffi

Affiliations

Soon will be listed here.

Abstract

A 71-year-old man with osteoarthritis and chondrocalcinosis came to our observation developing a swelling in the groin region after a recent left colectomy for adenocarcinoma. The imaging techniques revealed the presence of an iliopsoas bursitis in connection with the hip. The synovial fluid analysis detected the presence of calcium pyrophosphate (CPP) crystals and allowed the final and unusual diagnosis of iliopsoas bursitis related to acute CPP crystal hip arthritis.

Citing Articles

A case report of a rare form of calcium pyrophosphate disease: sacroiliitis with soft tissue involvement mimicking an infectious disease.

Leloix A, Hervouet M, Chotard E, Guillin R, Guggenbuhl P, Robin F Rheumatol Adv Pract. 2024; 8(4):rkae123.

PMID: 39473763 PMC: 11520397. DOI: 10.1093/rap/rkae123.

Reducing diagnostic delay in hypophosphatasia: a case series of 14 patients presenting to general rheumatology.

Rauf M, Kotecha J, Moss K Osteoporos Int. 2023; 34(9):1647-1652.

PMID: 37118032 PMC: 10427523. DOI: 10.1007/s00198-023-06749-z.

Iliopsoas Bursitis Related to Calcium Pyrophosphate Deposition Disease.

Shiraishi Y, Kanzawa Y, Ishimaru N, Kinami S Intern Med. 2021; 60(15):2515-2516.

PMID: 33583905 PMC: 8381159. DOI: 10.2169/internalmedicine.6789-20.

References

Jayson M, DIXON A . Valvular mechanisms in juxta-articular cysts. Ann Rheum Dis. 1970; 29(4):415-20. PMC: 1031327. DOI: 10.1136/ard.29.4.415. View

Tebib J, Dumontet C, Carret J, Colson F, Bouvier M . Synovial cyst of the hip causing iliac vein and femoral nerve compression. Clin Exp Rheumatol. 1987; 5(1):92-3. View

Zhang W, Doherty M, Bardin T, Barskova V, Guerne P, Jansen T . European League Against Rheumatism recommendations for calcium pyrophosphate deposition. Part I: terminology and diagnosis. Ann Rheum Dis. 2011; 70(4):563-70. DOI: 10.1136/ard.2010.139105. View

Peters A, Tillmann B . [Bursa iliopectinea--size and morphology]. Anat Anz. 1988; 167(5):403-7. View

Al-Khodairy A, Gobelet C, Nancoz R, De Preux J . Iliopsoas bursitis and pseudogout of the knee mimicking L2-L3 radiculopathy: case report and review of the literature. Eur Spine J. 1997; 6(5):336-41. PMC: 3454611. DOI: 10.1007/BF01142682. View

Tormenta S, Sconfienza L, Iannessi F, Bizzi E, Massafra U, Orlandi D . Prevalence study of iliopsoas bursitis in a cohort of 860 patients affected by symptomatic hip osteoarthritis. Ultrasound Med Biol. 2012; 38(8):1352-6. DOI: 10.1016/j.ultrasmedbio.2012.04.006. View

Generini S, Matucci-Cerinic M . Iliopsoas bursitis in rheumatoid arthritis. Clin Exp Rheumatol. 1993; 11(5):549-51. View

Wilkinson L, Palmer R . Bilateral iliopsoas bursitis in rheumatoid arthritis. Br J Rheumatol. 1991; 30(1):68-9. DOI: 10.1093/rheumatology/30.1.68-a. View

Shiga T, Watanabe N, Sugita M, Kamada Y, Inoue S, Kubo T . Two cases of osteochondromatosis which developed in the iliopectineal bursa of an osteoarthritic hip. Mod Rheumatol. 2014; 11(4):360-2. DOI: 10.3109/s10165-001-8072-0. View

10.

Steinbach L, Schneider R, Goldman A, Kazam E, Ranawat C, Ghelman B . Bursae and abscess cavities communicating with the hip. Diagnosis using arthrography and CT. Radiology. 1985; 156(2):303-7. DOI: 10.1148/radiology.156.2.4011891. View

11.

Murphy C, Meaney J, Rana H, McCarthy E, Howard D, Cunnane G . Giant iliopsoas bursitis: a complication of chronic arthritis. J Clin Rheumatol. 2010; 16(2):83-5. DOI: 10.1097/RHU.0b013e3181d072bb. View

12.

Yoon T, Song E, Chung J, Park C . Femoral neuropathy caused by enlarged iliopsoas bursa associated with osteonecrosis of femoral head--a case report. Acta Orthop Scand. 2000; 71(3):322-4. DOI: 10.1080/000164700317411960 . View

13.

Mori S, Tamura T, Komatsubara S, Kawaguchi Y, Todo S, Inoo M . A case of femoral nerve palsy caused by iliopectineal bursitis associated with rheumatoid arthritis. Mod Rheumatol. 2006; 14(3):274-8. DOI: 10.1007/s10165-004-0308-3. View

14.

Rodriguez-Gomez M, Willisch A, Fernandez L, Lopez-Barros G, Abel V, Monton E . Bilateral giant iliopsoas bursitis presenting as refractory edema of lower limbs. J Rheumatol. 2004; 31(7):1452-4. View

15.

Di Sante L, Paoloni M, De Benedittis S, Tognolo L, Santilli V . Groin pain and iliopsoas bursitis: always a cause-effect relationship?. J Back Musculoskelet Rehabil. 2013; 27(1):103-6. DOI: 10.3233/BMR-130412. View

16.

Menkes C, Decraemere W, Postel M, Forest M . Chondrocalcinosis and rapid destruction of the hip. J Rheumatol. 1985; 12(1):130-3. View

17.

Doherty M, Dieppe P . Clinical aspects of calcium pyrophosphate dihydrate crystal deposition. Rheum Dis Clin North Am. 1988; 14(2):395-414. View

18.

Matsumoto T, Juji T, Mori T . Enlarged psoas muscle and iliopsoas bursitis associated with a rapidly destructive hip in a patient with rheumatoid arthritis. Mod Rheumatol. 2006; 16(1):52-4. DOI: 10.1007/s10165-005-0449-z. View

19.

Sartoris D, Danzig L, Gilula L, Greenway G, Resnick D . Synovial cysts of the hip joint and iliopsoas bursitis: a spectrum of imaging abnormalities. Skeletal Radiol. 1985; 14(2):85-94. DOI: 10.1007/BF00349741. View

20.

CARR C, BERLEY F, Davis W . Pigmented villonodular synovitis of the hip joint; a case report. J Bone Joint Surg Am. 1954; 36-A(5):1007-13. View