[Endometriosis of the ischio-rectal excavation at the contact of the sciatic nerve: a case report of neurolysis by pararectal incision].
Localisation of endometriosis on the sciatic nerve is exceptional. We report the case of a patient presenting an endometriotic nodule of the left ischio-rectal excavation, with an extension contiguous to the sciatic nerve, responsible of invalidating sciatalgia. Two laparoscopies did not allow to localise the lesion. Finally the endometriotic nodule was treated by a direct access of the left ischio-rectal excavation through a pararectal incision. In this article we discuss the means to localise such lesion and the surgical approach to propose.
Chauvin
C
C
Service de gynécologie-obstétrique, maternité Aline-de-Crépy, hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France. chx2fr@yahoo.fr
Azria
E
E
Mahieu-Caputo
D
D
Madelenat
P
P
D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D012007:Rectum / Q000601:surgery; D012584:Sciatic Nerve; D020426:Sciatic Neuropathy / Q000209:etiology / Q000601:surgery*