Severe Iliopsoas Muscle Endometriosis Managed by a Multidisciplinary Team
Bibliographic record
Abstract
BACKGROUND: There is limited published guidance on management of iliopsoas muscle endometriosis, especially when muscle is extensively infiltrated. CASE: A 38-year-old patient presented with left leg neuropathy, atrophy, edema, and catamenial bruising. Magnetic resonance imaging identified a poorly defined multiseptated cystic mass in the iliacus and inferior psoas muscle consistent with an endometrioma. After failed medical management, a multidisciplinary team was assembled for operative intervention. Excision was incomplete because the mass replaced most of the psoas muscle and obscured the femoral nerve. Postoperatively, pathology confirmed endometriosis and symptoms improved. CONCLUSION: In cases of iliopsoas endometriosis, surgical judgment should balance the dogmatic goal of complete excision with the ethical principle of nonmaleficence. Drainage and partial excision may allow for preserved muscle function and avoidance of catastrophic neurovascular injury.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".