Generini S, Matucci-Cerinic M
Service of Rheumatology, University of Florence, Italy.
Clin Exp Rheumatol. 1993 Sep-Oct;11(5):549-51.
A 58-year-old woman with rheumatoid arthritis (RA) presented with persistent hip pain and an inguinal mass. Considerable liquid had collected inside the iliopsoas bursa, apparently not in communication with the hip joint, as shown by ultrasonography and computed tomography (CT). After one month of systemic steroidal therapy (25 mg/day prednisone), the palpable inguinal mass and pain had disappeared. Iliopsoas bursitis should be suspected in RA patients with a long history of disease presenting with an inguinal mass, persistent groin pain or unilateral leg swelling. The lack of communication between the hip joint cavity and bursa may be considered as a favourable prognostic index. Steroid treatment should be always attempted in order to avoid surgery.
一名58岁的类风湿关节炎（RA）女性患者出现持续性髋部疼痛和腹股沟肿块。超声和计算机断层扫描（CT）显示，大量液体聚集在髂腰肌滑囊内，显然与髋关节不连通。经过一个月的全身类固醇治疗（泼尼松25毫克/天），可触及的腹股沟肿块和疼痛消失。对于有较长病程且出现腹股沟肿块、持续性腹股沟疼痛或单侧腿部肿胀的RA患者，应怀疑存在髂腰肌滑囊炎。髋关节腔与滑囊之间缺乏连通可被视为一个良好的预后指标。应始终尝试进行类固醇治疗以避免手术。
