Evidence map›Paper›PMID 41000557›Full record

ArticleO&G open2025

Severe Iliopsoas Muscle Endometriosis Managed by a Multidisciplinary Team.

Harley Bray, Nicole Delaloye, Iain D C Kirkpatrick, Patricia Baker, Farhana Shariff, Devon Evans

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in O&G open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Harley BrayDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Nicole DelaloyeDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Iain D C KirkpatrickDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Patricia BakerDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Farhana ShariffDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.
Devon EvansDepartment of Obstetrics, Gynecology and Reproductive Sciences, the Department of Diagnostic Radiology, the Department of Pathology, and the Division of General Surgery, Department of Surgery, University of Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited published guidance on management of iliopsoas muscle endometriosis, especially when muscle is extensively infiltrated. CASE: A 38-year-old patient presented with left leg neuropathy, atrophy, edema, and catamenial bruising. Magnetic resonance imaging identified a poorly defined multiseptated cystic mass in the iliacus and inferior psoas muscle consistent with an endometrioma. After failed medical management, a multidisciplinary team was assembled for operative intervention. Excision was incomplete because the mass replaced most of the psoas muscle and obscured the femoral nerve. Postoperatively, pathology confirmed endometriosis and symptoms improved.

conclusionIn cases of iliopsoas endometriosis, surgical judgment should balance the dogmatic goal of complete excision with the ethical principle of nonmaleficence. Drainage and partial excision may allow for preserved muscle function and avoidance of catastrophic neurovascular injury.

Identifiers

PMID41000557
PMCPMC12456600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.