Rare gynecological condition causing sciatic pain

ACAR, Belma TOPTAŞ; Kadanali, Sedat; Acar, Ümit

doi:10.1016/0020-7292(93)90450-b

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…14 Previous documented cases describe fibroids producing sciatic, radicular, and lumbar plexopathy symptoms such as focal and radiating low back pain as well as lower extremity numbness, tingling, and cramping. [14][15][16][17][18] Hysterectomy has been documented as a successful approach to relieve such symptoms. 14,17,18 Our case differs from previous reports in that the patient was a woman of childbearing age with multiple lesions who successfully optimized fertility while alleviating her pain via the selected myomectomy approach.…”

Section: Discussionmentioning

confidence: 99%

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Atypical Cause for Back Pain and Sciatica in a 35-year-old Female with Fibromyalgia

Naber

Netzloff

Bakshi

2023

Am J Phys Med Rehabil

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Spinal and extrapelvic lesions causing sciatic symptoms are well recognized in clinical research and practice. 1–5 We present a 35-yr-old woman with a history of axial back pain and fibromyalgia who presented with episodes of radicular type pain down her legs and associated bilateral tingling in her feet. Medicinal and therapeutic interventions for traditional sciatica etiologies failed to provide relief. Lumbar magnetic resonance imaging showed mild multilevel degenerative changes and partially visualized fibroids, but no other significant spinal pathology was appreciated. Subsequent pelvic magnetic resonance imaging revealed an enlarged retroverted uterus with multiple fibroid lesions. The patient elected for laparoscopic myomectomy, which improved her likelihood of fertility while drastically alleviating her axial spine and lower extremity symptomology. This case reinforces the importance of keeping a broad differential that includes intrapelvic etiologies when traditional workup and treatment for sciatic neuropathy fails. To our knowledge, this is the first reported case of sciatic neuropathy secondary to uterine fibroids treated with the intent of both fertility improvement and pain relief.

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Section: Discussionmentioning

confidence: 99%

“…Previous documented cases describe fibroids producing sciatic, radicular, and lumbar plexopathy symptoms such as focal and radiating low back pain as well as lower extremity numbness, tingling, and cramping 14–18 . Hysterectomy has been documented as a successful approach to relieve such symptoms 14,17,18 .…”

Section: Discussionmentioning

confidence: 99%

Atypical Cause for Back Pain and Sciatica in a 35-year-old Female with Fibromyalgia

Naber

Netzloff

Bakshi

2023

Am J Phys Med Rehabil

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“…It is not uncommon for sciatica to result from the uterine tumour compressing the lumbosacral plexus, in particular the L4-L5 nerve roots [2]. The first reported case of this was in 1992 when a calcified degenerated myoma, suspected to be an ovarian tumour, induced sciatica by compressing the sciatic nerve in the lumbosacral plexus [3]. Uterine fibroids are another diagnostic consideration [4], and after pregnancy endometriosis is the most common cause of sciatica [2].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

et al. 2018

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For women, gynaecological or obstetrical disorders are second to disc prolapse as the most common cause of sciatica. As not many effective conventional treatments can be found for sciatica following uterine cancer, patients may seek assistance from complementary and alternative medicine. Here, we present a case of a woman with severe and chronic sciatica secondary to uterine cancer who experienced temporary relief from acupuncture.

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Adenomyosis ? an unusual cause of sciatic pain

1995

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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.

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Rare gynecological condition causing sciatic pain

Cited by 4 publications

References 3 publications

Atypical Cause for Back Pain and Sciatica in a 35-year-old Female with Fibromyalgia

Atypical Cause for Back Pain and Sciatica in a 35-year-old Female with Fibromyalgia

Treatment of Sciatica Following Uterine Cancer with Acupuncture: A Case Report

Adenomyosis ? an unusual cause of sciatic pain

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