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Cyclic Sciatica Due to Endometriosis of the Sciatic Nerve: Neurolysis with Combined Laparoscopic and Transgluteal ApproachesA Case Report
Hongye Jiang, MD1; Yanchun Liang, MD1; Lijing Li, MD2; Liqiang Gu, MD1; Shuzhong Yao, MD1
1 Departments of Obstetrics and Gynecology (H.J., Y.L., and S.Y.), and Orthopedic Trauma and Microsurgery (L.G.), First Affiliated Hospital of Sun Yat-sen University, No. 58, the 2nd Zhongshan Road, Yuexiu District, Guangzhou, Guangdong, China 510080. E-mail address for S. Yao: yszlfy@163.com
2 Department of Obstetrics and Gynecology, Jiangmen Wuyi Traditional Chinese Medicine Hospital, No. 30, East Huayuan Road, Jiangmen, Guangdong, China 529000
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Investigation performed at the Departments of Obstetrics and Gynecology and Orthopedic Trauma and Microsurgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2014 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2014 Jan 22;4(1):e11 1-4. doi: 10.2106/JBJS.CC.M.00234
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Cyclic sciatica due to endometriosis involving the sciatic nerve is a rare clinical and pathological entity1,2. Since the first reported case in 19463, less than eighty cases have been reported. We describe a thirty-one-year-old woman with cyclic sciatica, whose pathological findings confirmed endometriosis postoperatively. To the best of our knowledge, this is the first reported case of a patient who received both laparoscopic and transgluteal approaches to accomplish complete removal of intrapelvic and extrapelvic lesions as well as to achieve neurolysis of the sciatic nerve.
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