Extragenital Endometriosis; A Rare Casue of Sciatica: A Case Report

Duygu Geler Külcü, Gülcan Öztürk, Neslihan Taşdelen, Ece Aydoğ
In: Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi · 2015 · vol. 61(2) , pp. 184–186 · doi:10.5152/tftrd.2015.31549 · W4231767501
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This case report describes a patient with cyclic sciatica diagnosed by MRN as being caused by an extragenital endometrial focus compressing the sciatic nerve.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This 2024 case report describes a rare presentation of extragenital endometriosis presenting with sciatica, focusing on clinical evaluation and the diagnostic process leading to the identification of endometriotic involvement outside the reproductive organs. The paper presents the patient’s symptoms and the workup details typical of case reports, but the limitation inherent to this design is that findings cannot be generalized beyond this single case. As a case report, it provides descriptive clinical information rather than systematic evidence. This paper is centrally about endometriosis — specifically extragenital endometriosis presenting as sciatica.

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Abstract

Endometriosis is a common disease characterized by the presence of endometrial tissue outside the uterus, such as over, colon, nasal mucosa. Furthermore, it can affect sciatic nerve as a rare presentation causing cyclic sciatica, chronic pelvic pain, paresis, and paresthesia. Early diagnosis and treatment is very important to minimize the nerve damage caused by endometrial focus on sciatic nerve. Diagnosis of sciatica due to endometriosis can be made by magnetic resonance neurography (MRN), thereby identifying abnormalities of the sciatic nerve in patients with unexplained sciatica. MRN is a sensitive tool for evaluating both the lumbosacral plexus and sciatic nerve. We described a 38-year-old female patient with cyclic sciatica for 4 years. She had an endometrial focus compressing sciatic nerve at left sciatic foramen level that was diagnosed by MRN. In this case report, we aimed to underline the importance of appropriate diagnostic tools in the patients with extraspinal sciatica.
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endometriosischronic_pelvic_pain

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