External iliac artery Endofibrosis in a professional cyclist
Mansi Verma1, Niraj Nirmal Pandey1, Sanjeev Kumar1
1Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, 110029 India.
Indian Journal of Thoracic and Cardiovascular Surgery
|September 2, 2022
Summary
A professional cyclist experienced right thigh pain during intense exercise. Diagnosis of external iliac artery endofibrosis, or cyclist's iliac syndrome, was confirmed via imaging.
Area of Science:
- Vascular Surgery
- Sports Medicine
- Radiology
Background:
- External iliac artery endofibrosis is a rare condition causing leg pain in athletes.
- It often affects cyclists due to repetitive hip flexion and external iliac artery compression.
Purpose of the Study:
- To report a case of external iliac artery endofibrosis in a professional cyclist.
- To highlight the diagnostic approach and clinical presentation of this condition.
Main Methods:
- Clinical case presentation.
- Non-contrast magnetic resonance angiography (MRA) of the external iliac artery.
Main Results:
- A 30-year-old female professional cyclist presented with right thigh claudication during high-intensity efforts.
- Imaging revealed a smooth, long-segment, diffuse narrowing of the right external iliac artery.
Conclusions:
- The diagnosis of external iliac artery endofibrosis (cyclist's iliac syndrome) was established based on clinical history and MRA findings.
- This case underscores the importance of considering vascular causes in athletes with exertional leg pain.
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