Cyclic Sciatica Due to Endometriosis of the Sciatic Nerve: Neurolysis with Combined Laparoscopic and Transgluteal Approaches by Hongye Jiang, Yanchun Liang,

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Presentation transcript:

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 Connect Volume 4(1):e11 January 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.