A case of laparoscopic surgery for endometriosis in a patient with sciatica

Machiko Shiomi, Masaya SHIOMI, Masayuki Itô, Anju Maeda, Atsuyuki MAEDA, Hiroshi Maruoka, Toshiyuki Tsudo, Takashi Kato
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2025 · vol. 41(1) , pp. 109–113 · doi:10.5180/jsgoe.41.1_109 · W4412835100
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Laparoscopic surgery for pelvic endometriosis successfully resolved sciatic neuralgia in a 46-year-old woman with no orthopedic abnormalities, suggesting endometriosis can cause sciatic pain.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 46-year-old woman with low back pain and right lower-extremity sensory disturbance (sciatica) in whom orthopedic evaluation found no abnormalities, and pelvic MRI instead showed bilateral ovarian endometriotic cysts. Laparoscopic surgery was performed to remove the endometriotic lesions, after which her pain disappeared. The authors present the key finding that pelvic endometriosis can be involved in sciatic neuralgia and emphasize diagnostic collaboration and systematic pain assessment as a limitation-relevant note, while the report remains a single-patient experience without generalizable outcome data. This paper is centrally about endometriosis — it reports laparoscopic removal of endometriotic lesions as effective treatment for sciatic neuralgia in a patient.

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Abstract

The causes of sciatica are diverse and difficult to diagnose in orthopedic practice. In gynecological diseases, uterine myoma and endometriosis are often cited as differentials, but many gynecologists are not aware of their relationship to sciatic neuralgia. We report a case in which laparoscopic surgery was effective in treating sciatic neuralgia, which was difficult to diagnose by orthopedic surgeons. A 46-year-old woman, gravida 2 para 2, complained of low back pain and sensory disturbance in the right lower extremity, but there was no orthopedic abnormality. Pelvic MRI revealed endometriotic cysts in the bilateral ovaries, and laparoscopic surgery was performed to remove the endometriotic lesions, which resulted in the disappearance of pain. Pelvic endometriosis can be involved in sciatic neuralgia. It is important to collaborate with an orthopedic surgeon to make a systematic diagnosis and pain assessment, and to determine a treatment plan.

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Condition tags

endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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