A rare case of extrapelvic endometriosis in the right sciatic notch
Endometriosis is described as the proliferation of endometrial tissue outside of the uterus. This most frequently occurs within the pelvis and is a common cause of chronic pelvic pain in women of reproductive age. Rarely, endometriosis can manifest outside of the pelvis and can uncommonly involve th...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013669 |
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| author | Gregory Liller, DO Sahejmeet Guraya, MD Nathan Katragadda, BA Vijaya Kosaraju, MD Richard Barger, MD Peter Young, MD Patrick Getty, MD Navid Faraji, MD |
| author_facet | Gregory Liller, DO Sahejmeet Guraya, MD Nathan Katragadda, BA Vijaya Kosaraju, MD Richard Barger, MD Peter Young, MD Patrick Getty, MD Navid Faraji, MD |
| author_sort | Gregory Liller, DO |
| collection | DOAJ |
| description | Endometriosis is described as the proliferation of endometrial tissue outside of the uterus. This most frequently occurs within the pelvis and is a common cause of chronic pelvic pain in women of reproductive age. Rarely, endometriosis can manifest outside of the pelvis and can uncommonly involve the musculoskeletal and peripheral nervous systems. Extrapelvic endometriosis is a difficult radiologic diagnosis due to its rarity and varied magnetic resonance imaging (MRI) appearance. Diagnosis of extrapelvic endometriosis is most frequently made with biopsy and most cases within the literature are treated with surgical resection. Of the cases that were treated medically, there is a paucity of available follow-up imaging to characterize the natural history and treatment response of this entity.We present a case of extrapelvic endometriosis involving the right sciatic notch, in a 26 year old female who presented with cyclic hip pain and lumbosacral plexopathy. Initial MRI findings were nonspecific, and diagnosis was made via image guided biopsy. The patient underwent medical treatment with a gonadotropin-release hormone agonist and oral contraceptives, with close imaging follow-up including a 6-month post-treatment MRI. |
| format | Article |
| id | doaj-art-2dd82bc233664a328b4973989446efb1 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-2dd82bc233664a328b4973989446efb12025-01-18T05:04:04ZengElsevierRadiology Case Reports1930-04332025-03-0120316051609A rare case of extrapelvic endometriosis in the right sciatic notchGregory Liller, DO0Sahejmeet Guraya, MD1Nathan Katragadda, BA2Vijaya Kosaraju, MD3Richard Barger, MD4Peter Young, MD5Patrick Getty, MD6Navid Faraji, MD7Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USADepartment of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USASchool of Medicine, Case Western Reserve University, 9501 Euclid Avenue Cleveland, OH 44106, USA; Corresponding author.Department of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USADepartment of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USADepartment of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USADepartment of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USADepartment of Radiology, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue Cleveland, OH 44106, USAEndometriosis is described as the proliferation of endometrial tissue outside of the uterus. This most frequently occurs within the pelvis and is a common cause of chronic pelvic pain in women of reproductive age. Rarely, endometriosis can manifest outside of the pelvis and can uncommonly involve the musculoskeletal and peripheral nervous systems. Extrapelvic endometriosis is a difficult radiologic diagnosis due to its rarity and varied magnetic resonance imaging (MRI) appearance. Diagnosis of extrapelvic endometriosis is most frequently made with biopsy and most cases within the literature are treated with surgical resection. Of the cases that were treated medically, there is a paucity of available follow-up imaging to characterize the natural history and treatment response of this entity.We present a case of extrapelvic endometriosis involving the right sciatic notch, in a 26 year old female who presented with cyclic hip pain and lumbosacral plexopathy. Initial MRI findings were nonspecific, and diagnosis was made via image guided biopsy. The patient underwent medical treatment with a gonadotropin-release hormone agonist and oral contraceptives, with close imaging follow-up including a 6-month post-treatment MRI.http://www.sciencedirect.com/science/article/pii/S1930043324013669EndometriosisRight sciatic notchExtrapelvic endometriosis |
| spellingShingle | Gregory Liller, DO Sahejmeet Guraya, MD Nathan Katragadda, BA Vijaya Kosaraju, MD Richard Barger, MD Peter Young, MD Patrick Getty, MD Navid Faraji, MD A rare case of extrapelvic endometriosis in the right sciatic notch Radiology Case Reports Endometriosis Right sciatic notch Extrapelvic endometriosis |
| title | A rare case of extrapelvic endometriosis in the right sciatic notch |
| title_full | A rare case of extrapelvic endometriosis in the right sciatic notch |
| title_fullStr | A rare case of extrapelvic endometriosis in the right sciatic notch |
| title_full_unstemmed | A rare case of extrapelvic endometriosis in the right sciatic notch |
| title_short | A rare case of extrapelvic endometriosis in the right sciatic notch |
| title_sort | rare case of extrapelvic endometriosis in the right sciatic notch |
| topic | Endometriosis Right sciatic notch Extrapelvic endometriosis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013669 |
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