A 77-year-old woman presented with a 40-day history of gradually increasing mass in
the left buttock, and she complained of pain on sitting. She reported having long
term sedentary activities, like knitting and viewing TV. Physical examination revealed
a soft and well-defined mass located in the left gluteal region, approximately 5 cm
in diameter (Figure 1A). Pelvis magnetic resonance (MR) demonstrated a thin-walled cystic lesion with high
signal intensity on T2-weighted image, attached to the ischial tuberosity (Figure 1B). Maximum intensity projection stereoscopically displayed the mass, measuring 8 × 6 × 4
cm, located inferior to the ischial tuberosity (Figure 1C). The patient underwent excision of the mass. The mass had a thin, white to gray
wall, containing a large amount of serous fluid. Histologic analysis revealed bursitis,
showing a cyst wall consisting of fibrous and granulation tissue, hemorrhage and a
small amount of chronic inflammatory cells (Figure 1D). The patient was feeling well at 4 months of follow-up.
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References
- Typical MRI findings of bilateral ischial bursitis: bilateral Weaver's bottom.BMJ Case Rep. 2021; 14e246665
- Ischiogluteal bursitis: a report of three cases with MR findings.Rheumatol Int. 2009; 29: 455-458
- Ischiogluteal bursitis. The pain in the arse.JAMA. 1974; 227: 551-552
Article Info
Publication History
Accepted:
October 27,
2022
Received:
July 20,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Inc. on behalf of Southern Society for Clinical Investigation.
