Endometriosis in the Uterosacral Ligament Giving Orthopedic Symptoms Through Compression of the Sciatic Nerve and Surgically Treated Via an Extraperitoneal Approach Keeping the Pelvic Organs Intact

Abstract
Sciatic pain in a young woman was not relieved by orthopedic treatment. The gynecologist found a large hard tumor‐like mass in the uterosacral ligament extending to the pelvic wall. Cytologic examination of fine needle aspirate indicated an endometriotic lesion. The large tumor‐like mass was extirpated by an extraperitoneal technique and the pain disappeared.

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