Endometriosis of the sciatic nerve: a report of two cases and a review of the literature

Obstetrics and Gynecology, 71(3 Pt 2), 473-477

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Abstract

Endometriosis of the sciatic nerve is rare but must be included in the differential diagnosis of sciatic pain. Patients present with typical signs and symptoms of sciatica, which are cyclic in nature. Electromyography and computed tomographic scanning are useful in diagnosis. At laparoscopy or laparotomy, a characteristic "pocket sign" is frequently seen, and may be the only clue to the presence of endometriosis. The patient often requires definitive surgery with total abdominal hysterectomy and bilateral salpingo-oophorectomy. However, conservative surgery with excision of the endometriosis from the nerve can be successful in selected patients who wish to preserve reproductive function.

Topics

endometriosis sciatic nerve sciatica cyclic pain, sciatic nerve endometriosis diagnosis electromyography CT scan, endometriosis sciatic nerve pocket sign laparoscopy, cyclic sciatica endometriosis differential diagnosis, sciatic endometriosis conservative surgery nerve excision, deep infiltrating endometriosis sciatic nerve case report, Torkelson Lee endometriosis sciatic nerve review, endometriosis nerve involvement surgical management hysterectomy, extrapelvic endometriosis sciatic nerve rare presentation, endometriosis sciatic nerve fertility preserving surgery

Cite this article

Torkelson, S. J., Lee, R. A., & Hildahl, D. B. (1988). Endometriosis of the sciatic nerve: a report of two cases and a review of the literature. *Obstetrics and gynecology*, *71*(3 Pt 2), 473-477.

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