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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 a case of external iliac artery endofibrosis causing leg pain in a competitive cyclist and review related literature.

Methods

Case report of a 39-year-old cyclist with 5 years of exercise-induced thigh pain; diagnosis confirmed via vascular studies; treated surgically after failed conservative therapy.

Key Findings

Surgical correction of the artery abnormality led to complete symptom resolution and return to competitive cycling within 1 year.

Conclusion

External iliac artery endofibrosis, though rare, should be considered in cyclists with persistent exercise-induced leg pain, and surgery can provide excellent outcomes.

What This Means for Patients

Cyclists experiencing chronic leg pain during exercise should be evaluated for vascular causes like external iliac artery endofibrosis, which can be effectively treated surgically.

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