Ureterosciatic hernia with compression of the sciatic nerve

Touloupidis, Stavros; Kalaitzis, Christos; Schneider, Andreas; Patris, Emmanuel; Kolias, Anastasios

doi:10.1007/s11255-005-4764-2

Cited by 24 publications

(13 citation statements)

References 4 publications

(7 reference statements)

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“…In adults, females are more commonly affected [1,4]. Small bowel, omentum, ureter, ovary, fallopian tube, colon, bladder or Meckel's diverticulum may form the contents of the herniated sac [2,5,6]. Various presentations of sciatic hernia could be symptoms of bowel obstruction, ureteric obstruction, pelvic pain, lower back pain or sciatica [2,5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel, omentum, ureter, ovary, fallopian tube, colon, bladder or Meckel's diverticulum may form the contents of the herniated sac [2,5,6]. Various presentations of sciatic hernia could be symptoms of bowel obstruction, ureteric obstruction, pelvic pain, lower back pain or sciatica [2,5,6]. Sciatica occurs as a result of compression of the sciatic nerve by the herniated sac [2,7].…”

Section: Discussionmentioning

confidence: 99%

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Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve

Chitranjan

Kandpal²,

Madhusudhan³

2010

BJR

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ABSTRACT. Sciatic hernia is a rare condition with diverse clinical manifestations. We report a case of sciatic hernia causing sciatica, in which the diagnosis made on CT was subsequently confirmed on MRI including magnetic resonance neurography. The salient clinical and imaging features and a brief review are presented. Sciatic hernia is a rare condition that can lead to bowel obstruction, sciatica, pelvic pain, back pain or ureteric obstruction [1,2]. Clinical diagnosis of this condition is difficult. Ultrasonography and CT are the imaging modalities commonly used to diagnose sciatic hernia, although MRI can be used in cases in which entrapment of the sciatic nerve is suspected. Magnetic resonance neurography (MRN) provides high-resolution images to demonstrate entrapment of the nerve and morphological changes in the nerve [3]. Colour Doppler can be useful in surgical planning, as it can provide information regarding bowel viability. Case reportA 55-year-old woman presented with swelling in the left gluteal region and pain in the left lower limb of two years' duration. A detailed clinical history also revealed that she had an abscess in the left gluteal region following an intramuscular injection one year previously; however, at presentation there was no clinical feature suggestive of abscess. Physical examination revealed non-tender soft swelling in the left lumbar region with associated atrophy of gluteal muscles. To diagnose the nature of the gluteal mass, a CT scan of the pelvis and gluteal region was performed. The CT scan revealed herniation of the sigmoid colon through the greater sciatic foramen reaching up to the skin surface and atrophy of the gluteal muscles. Other major pelvic organs including the uterus, ureter and urinary bladder were normally located ( Figure 1). As there was atrophy of the left gluteal muscles, and because the patient had symptoms of sciatica, entrapment of the sciatic nerve by sciatic hernia was suspected. MRI of the pelvis and upper thigh with MRN was performed to confirm entrapment of the sciatic nerve. MRN was used for high-resolution imaging of the sciatic nerve and was performed on a 1.5 T scanner (Sonata, Siemens, Erlangen, Germany) using a pelvis phase-array coil. Sequence parameters included 4 mm section thickness, 0 mm intersection gap, 18-24 cm field of view, 256 6 256 matrix, and an 8-to 10 min imaging time per sequence. The patient underwent axial T 1 weighted spin echo (580/11/2-3 [TR/TE/excitations]) and axial and oblique coronal short tau inversion recovery (STIR, 5000/27/2-3; inversion time, 130 ms) sequences. Coronal oblique images were taken parallel to the course of the sciatic nerve. MRI revealed thickening and increased signal in the left sciatic nerve on STIR coronal oblique images (Figure 2). Lateral deviation and entrapment of the nerve by hernia was also noted along with atrophy of the left gluteal muscles.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve

Chitranjan

Kandpal²,

Madhusudhan³

2010

BJR

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“…A surgical review of sciatic hernias described 99 cases occurring between 1900 and 2008 [1]. Sciatic hernias have been described containing various gastrointestinal and genitourinary structures, including small bowel, omentum, Meckel's diverticulum, colon, ovary, fallopian tube, bladder, and ureter [2,3]. As a result of the various structures involved, presentations are widely variable.…”

Section: Discussionmentioning

confidence: 99%

Positional right hip and thigh pain

Stone¹,

Bencardino²,

Rosenberg³

2014

Skeletal Radiol

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“…The hernia sac may contain the small intestine, ureter, ovary, colon or bladder. It may even be responsible for a neurological symptomatology by direct compression [4]. A ureter ischiatic hernia causing ureteral obstruction must be repaired surgically.…”

Section: Anatomical Considerationsmentioning

confidence: 99%

Robot-Assisted Laparoscopy Repair for a Supra-Piriform Herniation of the Pelvic Ureter

et al. 2017

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An 80-year-old woman was diagnosed with an obstructive pyelonephritis by pelvic ureteral hernia supra-piriform. She underwent a robot-assisted laparoscopy repair. Although robot assistance facilitated reparation, rarely frequency location hernia exposed us, radiologist and surgeon, to revise and display anatomy and technic for diagnosis and repair it. The purpose of our case report was to show the computed tomography imaging features and robot laparoscopic technical for repair it.

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Ureterosciatic hernia with compression of the sciatic nerve

Cited by 24 publications

References 4 publications

Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve

Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve

Positional right hip and thigh pain

Robot-Assisted Laparoscopy Repair for a Supra-Piriform Herniation of the Pelvic Ureter

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