Cyclic Sciatica in a Patient With Deep Monolateral Endometriosis Infiltrating the Right Sciatic Nerve

Marcello Ceccaroni, Clarizia R, Roberto Clarizia, Stefano Cosma, Anna Pesci, Pesci A, Giovanni Pontrelli, Pontrelli G, Luca Minelli, Minelli L
Journal of spinal disorders & techniques · 2011 · vol. 24(7) , pp. 474–478 · doi:10.1097/bsd.0b013e31820fc53b · PMID:21945926 · W1985254254
article OA: closed CC0 ⤵ 23 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report presents a patient whose sciatica was caused by deep unilateral endometriosis infiltrating the right sciatic nerve, which was treated with laparoscopic neurolysis.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-17 · read from full text ⓘ

This case report describes a 41-year-old woman suffering from severe dysmenorrhea, dyspareunia, and chronic pelvic pain accompanied by right-sided sciatica caused by deep infiltrating endometriosis involving the sciatic nerve. The patient underwent laparoscopic neurolysis of the affected somatic nerves using the Possover technique to address the nerve infiltration and compression. The authors conclude that endometriosis is a chronic inflammatory condition capable of invading somatic nerves and that surgical neurolysis serves as an effective etiological treatment for relieving associated neurological symptoms. This paper is centrally about endometriosis — specifically the rare presentation of deep infiltrating disease affecting the sciatic nerve and the corresponding surgical management.

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Abstract

STUDY DESIGN: Case report. OBJECTIVE: To show by case presentation, the potential for endometriosis to infiltrate the somatic nerves causing lower extremity neuropathic pain and to discuss possible surgical remedy and the effectiveness of laparoscopic neurolysis. SUMMARY OF BACKGROUND DATA: Pelvic endometriosis may infiltrate the pelvic wall and somatic nerves causing severe neuropathic symptoms. METHODS: We report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain with concomitant monolateral right sciatica because of deep infiltrating pelvic endometriosis involving the sciatic nerve and pelvic wall. RESULTS: The patient was treated by laparoscopic neurolysis of the involved somatic nerves according to the Possover operation. CONCLUSIONS: Endometriosis is a chronic inflammatory disease, potentially infiltrating the somatic nerves. Laparoscopic neurolysis is a therapeutic aetiological therapy, which can relieve neurological symptoms deriving from nerve infiltration/compression.
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Objective

To show by case presentation, the potential for endometriosis to infiltrate the somatic nerves causing lower extremity neuropathic pain and to discuss possible surgical remedy and the effectiveness of laparoscopic neurolysis. Summary of Background Data Pelvic endometriosis may infiltrate the pelvic wall and somatic nerves causing severe neuropathic symptoms.

Methods

We report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain with concomitant monolateral right sciatica because of deep infiltrating pelvic endometriosis involving the sciatic nerve and pelvic wall.

Results

The patient was treated by laparoscopic neurolysis of the involved somatic nerves according to the Possover operation.

Conclusions

Endometriosis is a chronic inflammatory disease, potentially infiltrating the somatic nerves. Laparoscopic neurolysis is a therapeutic aetiological therapy, which can relieve neurological symptoms deriving from nerve infiltration/compression.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareunia

MeSH descriptors

Endometriosis Endometriosis Sciatica Sciatica Sciatic Nerve Adult Chronic Disease Endometriosis Endometriosis Female Humans Laparoscopy Laparoscopy Magnetic Resonance Imaging Sciatica Sciatica Sciatic Nerve Sciatic Nerve

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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