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An unusual cause of sciatica. A case report

C T Servant1

  • 1Department of General Surgery, Harold Wood Hospital, Essex, England.

Spine
|October 30, 1998
PubMed
Summary
This summary is machine-generated.

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A rare strangulated sciatic hernia caused sciatica, intestinal obstruction, and a gluteal abscess. Prompt diagnosis and surgical repair resolved all symptoms, highlighting the need for awareness of extraspinal causes of sciatica.

Area of Science:

  • Gastroenterology
  • Neurology
  • Surgical Case Reports

Background:

  • Sciatic herniae are uncommon conditions.
  • The simultaneous occurrence of sciatica, a gluteal abscess, and intestinal obstruction due to a strangulated sciatic hernia is unprecedented in medical literature.

Observation:

  • A 66-year-old woman presented with symptoms of intestinal obstruction and a left gluteal mass, alongside pre-existing low back and left leg pain.
  • Clinical presentation mimicked typical sciatica but was caused by extraspinal pathology.
  • Needle aspiration confirmed the diagnosis, subsequently verified by laparotomy.

Findings:

  • Surgical repair of the strangulated sciatic hernia led to complete resolution of sciatic nerve compression symptoms and intestinal obstruction.
  • The case underscores the importance of considering extraspinal causes for sciatica, especially with atypical presentations.

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Implications:

  • Clinicians should consider local sciatic nerve pathology in cases of unexplained sciatica.
  • The presence of a gluteal mass or intestinal obstruction should raise suspicion for a strangulated sciatic hernia.