Sciatic endometriosis: Insights from imaging and personalized treatment

Abstract

This outstanding image article delves into the intriguing instance of a 42-year-old woman grappling with persistent lumbosacral pain over 13 years, accentuated postpartum. Electromyography (EMG) and magnetic resonance imaging (MRI) uncovered sciatic endometriosis. The rarity of this manifestation prompted a biopsy for anatomopathological confirmation, underscoring the complexity of the case. Despite unsuccessful attempts with various interventions, the administration of gonadotropin-releasing hormone (GnRH) analogs led to significant improvement, emphasizing the efficacy of tailored treatments for uncommon endometriosis presentations. This case underscores the pivotal role of advanced imaging, particularly MRI, in precise diagnosis and personalized treatment planning, showcasing the transformative impact of well-tailored interventions on the intricate facets of endometriosis. The collaborative efforts of medical professionals, guided by imaging insights, not only alleviate symptoms but also contribute substantially to preserving neurological integrity, emphasizing the profound importance of tailored treatment in enhancing overall well-being.