Endometriosis in the Uterosacral Ligament Giving Orthopedic Symptoms Through Compression of the Sciatic Nerve and Surgically Treated Via an Extraperitoneal Approach Keeping the Pelvic Organs Intact

Abstract

Sciatic pain in a young woman was not relieved by orthopedic treatment. The gynecologist found a large hard tumor-like mass in the uterosacral ligament extending to the pelvic wall. Cytologic examination of fine needle aspirate indicated an endometriotic lesion. The large tumor-like mass was extirpated by an extraperitoneal technique and the pain disappeared.

Key Words:

• Sciatica
• endometriosis
• biopsy (needle)
• surgery (operative)