An Unusual Case of Leg Pain in a Competitive Cyclist: A Case Report and Review of the Literature
Authors: Lindner D, Agar G, Domb BG, Beer Y, Shub I, Mann G
DOI: 10.1177/1941738114524160
Purpose
To describe external iliac artery endofibrosis causing exercise-induced leg pain in a competitive cyclist and review treatment outcomes.
Methods
Case report detailing diagnosis via vascular studies and surgical treatment following failed conservative management.
Key Findings
- Surgical correction resulted in complete symptom resolution.
- The patient returned to competitive cycling within 1 year post-surgery.
Conclusion
External iliac artery endofibrosis, though rare, is an important differential diagnosis in cyclists with chronic exercise-induced leg pain, with surgery providing excellent results.
What Does This Mean for Providers?
- Maintain a high index of suspicion for vascular causes such as external iliac artery endofibrosis in athletes presenting with exertional leg pain refractory to conservative treatment.
- Early vascular evaluation and referral may expedite diagnosis and improve outcomes.
- Surgical intervention can be curative and restore athletic function.