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Updated: Jun 24, 2026

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Post-traumatic catamenial sciatica.

Michael S Hughes1, Timothy A Burd, William C Allen

  • 1Department of Orthopaedic Surgery, University of Missouri Hospital and Clinics, Columbia, MO, USA.

Orthopedics
|March 19, 2009
PubMed
Summary
This summary is machine-generated.

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This case study details a rare instance of endometriosis outside the pelvis causing sciatica. A gluteal mass, diagnosed as an endometrioma, led to cyclic leg pain in a woman with a history of trauma.

Area of Science:

  • Gynecology
  • Neurology
  • Surgical Pathology

Background:

  • Endometriosis is a common gynecologic condition affecting premenopausal women.
  • Sciatica is a prevalent disorder often caused by intraspinal pathology.
  • Extraspinal causes of sciatica are recognized but less common.

Observation:

  • A 38-year-old woman presented with a 6-year history of an enlarging right gluteal mass.
  • She experienced cyclic radicular pain in her right leg and foot, exacerbated by sitting.
  • The patient had a history of a gunshot wound to the lower abdomen during pregnancy.

Findings:

  • Excisional biopsy of the gluteal mass confirmed it to be an endometrioma.
  • This represents a rare case of posttraumatic extrapelvic endometriosis.

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  • The endometrioma was identified as the cause of the patient's cyclic sciatica.

    • Implications:

    • This case highlights a rare extraspinal etiology for sciatica.
    • It underscores the potential for endometriosis to implant and grow ectopically after trauma.
    • Awareness of such presentations is crucial for accurate diagnosis and management of sciatica.