Adenomyosis ? an unusual cause of sciatic pain

article OA: closed CC0 ⤵ 2 in-corpus citations
AI-generated summary by claude@2026-06+body, 2026-06-08

A woman with a 5-month history of sciatic pain, initially suspected to be a herniated disc, was found to have an enlarged uterus causing her symptoms, which resolved after hysterectomy.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text

This paper reports a single female case with a 5-month history of sciatic pain initially evaluated as a possible herniated lumbar intervertebral disc, though the clinical picture was ill-defined and conservative treatment was given. After two weeks without improvement, magnetic resonance imaging of the spine showed no disc herniation or intraspinal mass but did reveal a right paramedian pelvic mass, and ultrasonography confirmed an enlarged irregular uterus. The patient’s symptoms were abolished by hysterectomy, supporting the pelvic mass (adenomyosis context in the title) as the pain source. This paper is centrally about adenomyosis — specifically adenomyosis as an unusual cause of sciatic pain.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 5,492 characters · extracted from oa-doi-fallback · click to expand
Summary We report the case of a female patient who presented with a 5-month history of sciatic pain. She was referred to us for investigation and eventual surgical treatment of a suspected herniated lumbar intervertebral disc. Because of an ill-defined clinical picture at admission, she was treated conservatively. After 2 weeks without any improvement, imaging of the spine by MR was performed. No signs of a herniated disc or intraspinal, space-occupying lesion were apparent, but a right paramedian pelvic mass was seen. Ultrasonography confirmed an enlarged, irregular uterus. Hysterectomy abolished the symptoms. Similar content being viewed by others References Acar B, Kadanali S (1993) Rare gynecological condition causing sciatic pain. Letter, Int J Gynecol Obstet 42:50–51 Andrews DW, Friedman NB, Heier L, Erickson A, Lavyne MH (1987) Tuboovarian abscess presenting as sciatic pain: case report. Neurosurgery 21:100–103 Ashleigh RJ, Marcuson RW (1993) False aortic aneurysm presenting as sciatic nerve root pain. Eur J Vasc Surg 7:214–216 Baker GS, Parsons WR, Welch JS (1966) Endometriosis within the sheath of the sciatic nerve. J Neurosurg 25:652–655 Bates D, Ruggieri P (1991) Imaging modalities for evaluation of the spine. Radiol Clin North Am 29:675–687 Bergqvist A, Bergqvist D, Lindholm K, Linell F (1987) 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. Acta Obstet Gynecol Scand 66:93–94 Buckler RA, Chad DA, Smith TW, Davidson RI (1987) Sciatica: an early manifestation of throacic vertebral osteochondroma. Neurosurgery 21:98–100 Carta F, Guiducci G, Fulcheri E, Bernucci C, Rivano C (1992) Radicular compression by extradural spinal endometriosis. Case report. Acta Neurochir (Wien) 114:68–71 Chad DA (1991) Disorders of roots and plexuses. In: Bradley WG, Daroff RB, Fenichel GM, Marsden CD (eds) Neurology in clinical practice, vol 2. Butterworth-Heinemann, Boston, pp 1810–1817 Delefortrie G, Taglang G, de-Nayer P (1987) Sciatalgies et tumeurs primaires non viscerales de la region pelvienne. Acta Orthop Belg 53:156–158 Donaldson JO (1992) Neurologic complications of pregnancy. In: Asbury AK, McKhann GM, McDonald WI (eds) Diseases of the nervous system (Clinical neurobiology, vol 2). Saunders, Philadelphia, pp 1545–1551 Elmer RM (1978) Sciatica caused by an intrauterine device after silent uterine perforation: a case report. J Bone Joint Surg [Am] 60:265–266 Finesson BE (1978) A lumbar disc surgery predictive score card. Spine 3:186–188 Fontanesi G, Giancecchi F, Rotini R, Cavazzuti A (1988) Lumbosciatic pain due to sacral pathology. Ital J Orthop Traumatol 14:81–88 Gierada DS, Erickson SJ (1993) MR imaging of the scral plexus: abnormal findings. Am J Roentgenol 160:1067–1071 Guiot G, Levy J, Auquier L, Comoy C (1965) Sciatica caused by endometriosis (catamenial sciatica). Presse Méd 73:1397–1398 Head HB, Welch JS, Mussey E, Espinosa RE (1962) Cyclic sciatica: report of case with the introduction of a new surgical sign. JAMA 180:521–524 Heffernan LPM, Fraser RC, Purdy RA (1980) L-t radiculopathy secondary to a uterine leiomyoma in a primigravid patient. Am J Obstet Gynecol 15:460–461 Hibbard J, Schreiber JR (1984) Footdrop due to sciatic nerve endometriosis. Am J Obstet Gynecol 149:800–801 Huber HM (1990) The pyriformis syndrome: a possible cause of sciatica. Schweiz Rundsch Med Prax 79:235–236 Kelso TB, Ferrari CJ, Frassica FJ (1993) Sciatica caused by a neurilemoma of the intrapelvic portion of the sciatic nerve. A case report. J Bone Joint Surg [Am] 75:603–605 Laman DM, Endtz LJ, Van Well-Krouwel HJ, Gerretsen G (1985) A rare cause of lumbosacral plexus neuropathy. Clin Neurol Neurosurg 87:47–49 Mirkovic S, Melany M (1992) A thoracolumbar epidural hematoma simulating a disc syndrome. J Spinal Disord 5: 112–115 Ogon M, Goebel WE, Trappe AE (1991) Recurrent sciatica caused by conjoined nerve roots. Diagnosis, therapy, follow-up. Nervenarzt 62:378–382 Papadopoulos SM, McGillicuddy JE, Messina LM (1989) Pseudoaneurysm of the inferior gluteal artery presenting as sciatic nerve compression. Neurosurgery 24:926–928 Puranen J, Orava S (1991) The hamstring syndrome; a new gluteal sciatica. Ann Chir Gynaecol 80:212–214 Revel M, Amor B (1992) Les sciatiques en dehors de la hernie discale. Rev Prat 42:549–553 Salazar-Grueso E, Roos R (1986) Sciatic endometriosis: a treatable sensorimotor mononeuropathy. Neurology 36:1360–1363 Torkelson SJ, Lee RA, Hildahl DB (1988) Endometriosis of the sciatic nerve: a report of two cases and a review of the literature. Obstet Gynecol 71:473–477 Tsolakis I, Korovessis P, Spastris P, Kakkos S, Androulakis J (1992) Acute rupture of an aortic aneurysm mimicking the discus hernia syndrome. A case report. Int Angiol 11:142–144 Vock P, Mattle H, Studer M, Mumenthaler M (1988) Lumbosacral plexus lesions: correlation of clinical signs and computed tomography. J Neurol Neurosurg Psychiatry 51:72–79 Walton J (ed) (1985) Brain's diseases of the nervous system. Oxford University Press, Oxford, p 508 Author information Authors and Affiliations Rights and permissions About this article Cite this article Al-Khodairy, A.T., Gerber, B.E. & Praz, G. Adenomyosis — an unusual cause of sciatic pain. Eur Spine J 4, 317–319 (1995). https://doi.org/10.1007/BF00301044 Received: Revised: Accepted: Issue date: DOI: https://doi.org/10.1007/BF00301044

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

mesh:D004715adenomyosis

MeSH descriptors

Endometriosis Sciatica Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Hysterectomy Sciatica Spinal Fusion

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.

References (34)

Cited by (2)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:11:18.900538+00:00
unpaywall
last seen: 2026-06-02T02:00:03.124865+00:00
License: CC0 · commercial use OK