Adenomyosis--an unusual cause of sciatic pain
A T al-Khodairy1, B E Gerber, G Praz
1Department of Orthopaedic Surgery, Hôpital de Pourtalès, Neuchâtel, Switzerland.
Abstract:
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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