Posttraumatic Catamenial Sciatica

Michael S Hughes, Timothy A Burd, William C Allen
Orthopedics · 2008 · vol. 31(4) , pp. 400 · doi:10.3928/01477447-20080401-15 · PMID:19292268 · W2052302282
article OA: closed CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 38-year-old woman who developed cyclic sciatica due to a gluteal endometrioma, likely secondary to a gunshot wound sustained years prior.

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Abstract

This article presents a unique case of posttraumatic extrapelvic endometriosis presenting as a gluteal mass causing cyclic sciatica. A 38-year-old woman presented with an enlarging right buttock mass over the previous 6 years. She also had symptoms of radicular pain referred to the right leg and foot with sitting and daily activity. Four years prior to noticing the mass, she sustained a gunshot wound through the lower abdomen while 5 months pregnant. Excisional biopsy of the gluteal mass revealed endometrioma. Sciatica is a common and painful disorder that is believed to have an incidence of 40% in the adult population. Sciatica is most often due to intraspinal pathology affecting the lumbar nerve roots. There are many recognized extraspinal etiologies for sciatica in the literature including aneurysms, sciatic hernia, abcess, neoplasm, trochanteric wire, piriformis syndrome, ischial fracture, a posteriorly flexed uterus, and even an intrauterine device following uterine perforation. Similarly, endometriosis is a gynecologic condition that represents a significant health problem for women of reproductive age as it occurs in up to 50% of premenopausal women and 71% to 87% in women with chronic pelvic pain. Although rare, endometriosis has a well known ability to migrate outside of the abdominal cavity and proliferate ectopically under the control of systemic estrogen.

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Condition tags

mesh:D004715endometriosisendometriomachronic_pelvic_pain

MeSH descriptors

Decompression, Surgical Endometriosis Endometriosis Nerve Compression Syndromes Nerve Compression Syndromes Sciatica Sciatica Wounds, Gunshot Adult Decompression, Surgical Endometriosis Female Humans Nerve Compression Syndromes Sciatica Treatment Outcome Wounds, Gunshot

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 (30)

Cited by (4)

Source provenance

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License: CC0 · commercial use OK