Referred Hip Joint and Lower Extremity Pain from a Dermoid Cyst of the Ovary

Abstract

Ruslan Abdukalikov, David Shbeeb, Terence K. Gray

Referred pain patterns, which are associated with embryological development, can complicate treatment and management of pain, especially in the presence of visceral pathological processes. A dermoid cyst of the ovary can refer pain to the hip joint and lower extremity mimicking pain patterns associated with hip joint disease. It can also present with pain that persists after corticosteroid and local anesthetic joint injections. In such cases of pain refractory to interventional pain procedures, referred pain patterns secondary to undiagnosed pathology should be explored as a potential diagnosis.

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