Chauvin C, Azria E, Mahieu-Caputo D, Madelenat P
Service de gynécologie-obstétrique, maternité Aline-de-Crépy, hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
Gynecol Obstet Fertil. 2010 Feb;38(2):142-6. doi: 10.1016/j.gyobfe.2009.10.002.
Localisation of endometriosis on the sciatic nerve is exceptional. We report the case of a patient presenting an endometriotic nodule of the left ischio-rectal excavation, with an extension contiguous to the sciatic nerve, responsible of invalidating sciatalgia. Two laparoscopies did not allow to localise the lesion. Finally the endometriotic nodule was treated by a direct access of the left ischio-rectal excavation through a pararectal incision. In this article we discuss the means to localise such lesion and the surgical approach to propose.
坐骨神经子宫内膜异位症极为罕见。我们报告了一例患者，其左坐骨直肠窝存在一个子宫内膜异位结节，并与坐骨神经相邻，导致坐骨神经痛而致残。两次腹腔镜检查均未能定位该病变。最终，通过经直肠旁切口直接进入左坐骨直肠窝对子宫内膜异位结节进行了治疗。在本文中，我们讨论了定位此类病变的方法以及建议的手术方式。
