Adenomyosis--an unusual cause of sciatic pain.
We report the case of a female patient who presented with a 5-month history of sciatic pain. She was referred to us for investigation and eventual surgical treatment of a suspected herniated lumbar intervertebral disc. Because of an ill-defined clinical picture at admission, she was treated conservatively. After 2 weeks without any improvement, imaging of the spine by MR was performed. No signs of a herniated disc or intraspinal, space-occupying lesion were apparent, but a right paramedian pelvic mass was seen. Ultrasonography confirmed an enlarged, irregular uterus. Hysterectomy abolished the symptoms.
al-Khodairy
A T
AT
Department of Orthopaedic Surgery, Hôpital de Pourtalès, Neuchâtel, Switzerland.
Gerber
B E
BE
Praz
G
G
D000328:Adult; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D012585:Sciatica / Q000209:etiology*; D013123:Spinal Fusion