Abstract：
An enlarged iliopectineal bursa (IB) can cause pressure on iliofemoral veins. Clinical presentation can manifest as asymmetrical lower extremity edema. This case report demonstrates extensive asymmetrical leg edema caused by femoral vein compression based on iliopectineal bursitis (IB-itis) associated with advanced osteoarthritis (OA) of the left hip joint with an outline of relevant current literature. A female patient presented with left hip pain and edema in the leg. X-ray showed severe OA of the left hip. Computed Tomography (CT) concluded a cystic abnormality at the left iliopsoas muscle associated with the joint consistent with IB-itis, associated with a degenerative left hip joint. Hybrid total hip replacement was performed. At three-month follow-up her left leg showed no longer signs of extensive edema and she walked without the use of walking aids. IB-itis is mostly associated with rheumatoid arthritis (RA). There are no reports which only describe OA as cause of IB-itis. Extensive asymmetrical leg edema can be caused by venous compression of the femoral vein by an IB-itis. If the latter is the consequence of advanced hip OA, a total hip replacement can yield excellent clinical outcomes both functionally and with regard to the edema.
摘要：
增大的髂外阴囊（IB）可对髂股静脉造成压力。临床表现可表现为下肢不对称水肿。该病例报告显示，基于与左髋关节晚期骨关节炎（OA）相关的股静脉滑囊炎（IB-itis），由股静脉压迫引起的广泛的不对称腿部水肿，并概述了相关文献。一名女性患者出现左髋部疼痛和腿部水肿。X线显示左髋关节严重OA。计算机断层扫描（CT）得出结论，与关节相关的左侧髂腰肌出现囊性异常，与IB炎一致。与退化的左髋关节有关。行混合全髋关节置换术。在三个月的随访中，她的左腿不再显示出广泛的水肿迹象，并且在不使用助行器的情况下行走。IB-炎主要与类风湿性关节炎(RA)相关。没有报告仅将OA描述为IB炎的原因。广泛的不对称腿部水肿可能是由IB炎对股静脉的静脉压迫引起的。如果后者是晚期髋关节OA的结果，全髋关节置换术可以在功能和水肿方面产生优异的临床结果。
