Dystrophic calcifications secondary to intramuscular injections (elaiomi)

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Incidental finding.

Patient Data

Age: 65 years
Gender: Female

The supine pelvic X-ray reveals several calcifications in the soft tissue of both gluteal regions (dystrophic calcifications).

Case Discussion

This type of calcifications are also referred to as calcified gluteal injection site granulomas, calcified injection granulomas or "elaiomi" (from the Greek: élaion "oil", with suffix-oma). They form due to injections made subcutaneously (the injections were not intramuscular). At injection sites, fat necrosis, scar formation and calcium deposition occurs.

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