Abstract:
STUDY DESIGN:This case report illustrates the need to be aware of extraspinal causes of sciatica. A patient with a strangulated sciatic hernia showed the clinical features of sciatic leg pain, intestinal obstruction, and a left gluteal abscess. OBJECTIVE:To highlight the need to examine the course of the sciatic nerve for local pathology when the cause of sciatica is not obvious. SUMMARY OF BACKGROUND DATA:Sciatic herniae are rare. The coexistence of sciatica and a gluteal abscess, caused by a strangulated sciatic hernia, does not appear to have been reported previously. METHODS:A 66-year-old woman with preexisting low back pain and left leg pain was admitted to the hospital with intestinal obstruction and a left gluteal mass. Results of needle aspiration suggested the diagnosis, which was confirmed by laparotomy. The sciatic hernia was repaired via a transabdominal approach. RESULTS:The symptoms of sciatic nerve compression and intestinal obstruction resolved fully after surgery. CONCLUSION:The possibility of local pathology causing sciatic nerve compression should be considered when a patient reports sciatic leg pain, particularly if the presentation is atypical. Intestinal obstruction or the presence of a gluteal mass should suggest the possibility of a sciatic hernia.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Servant CTdoi
10.1097/00007632-199810010-00019subject
Has Abstractpub_date
1998-10-01 00:00:00pages
2134-6issue
19eissn
0362-2436issn
1528-1159journal_volume
23pub_type
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