Cyclic Sciatica Due to Endometriosis of the Sciatic Nerve: Neurolysis with Combined Laparoscopic and Transgluteal

Approaches

by Hongye Jiang, Yanchun Liang, Lijing Li, Liqiang Gu, and Shuzhong Yao

JBJS Case ConnectVolume 4(1):e11January 22, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

T2-weighted coronal MRI (three-dimensional diffusion-weighted sequence based on reversed fast imaging with steady-state precession) demonstrating a soft-tissue mass involving the left

sciatic nerve (arrows) (Fig.1-A); edema and thickening of the sciatic ner...

Hongye Jiang et al. JBJS Case Connect 2014;4:e11

©2014 by The Journal of Bone and Joint Surgery, Inc.

Laparoscopic view of the endopelvic endometriotic lesion involving the sciatic nerve.

Hongye Jiang et al. JBJS Case Connect 2014;4:e11

©2014 by The Journal of Bone and Joint Surgery, Inc.

Figs. 3-A and 3-B Intraoperative photographs.

Hongye Jiang et al. JBJS Case Connect 2014;4:e11

©2014 by The Journal of Bone and Joint Surgery, Inc.

Histology of the endometriosis of the sciatic nerve (Fig. 4-A) and the obturator lymph nodes (Fig. 4-B), showing ectopic endometrial-type epithelium (arrows) (hematoxylin and eosin stain, 40×

magnification).

Hongye Jiang et al. JBJS Case Connect 2014;4:e11

©2014 by The Journal of Bone and Joint Surgery, Inc.