Pedaling Through Pain: A Case Report of Iliac Artery Endofibrosis in a Competitive Cyclist.
| Autor: | Mallepally A; Interventional Radiology, Virginia Commonwealth University School of Medicine, Richmond, USA., Bailey CW; Interventional Radiology, Virginia Commonwealth University School of Medicine, Richmond, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 15; Vol. 16 (9), pp. e69477. Date of Electronic Publication: 2024 Sep 15 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.69477 |
| Abstrakt: | Iliac artery endofibrosis (IAE) is a rare cause of leg pain in young, healthy endurance athletes, particularly in male competitive cyclists. The prevailing hypothesis suggests that it is due to mechanical trauma of the iliac artery from long-standing hip flexion. In this case, a 40-year-old male endurance cyclist presented with bilateral thigh pain and worsening leg fatigue upon maximal exertion. Yet, the physical exam at rest was negative for claudication and peripheral pulses were intact. For this reason, IAE is poorly recognized and remains a difficult diagnosis as it requires testing at near-maximal exertion to reveal symptoms. After the patient was referred to the vascular clinic, imaging revealed intimal thickening of the left common iliac artery but with no evidence of stenoses bilaterally. Management typically begins conservatively but true resolution of symptoms can necessitate vascular intervention. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Mallepally et al.) |
| Databáze: | MEDLINE |
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