Introduction: Endometriosis consists of the presence of endometrial tissue outside the uterus most often in the pelvic peritoneum, ovaries, and rectovaginal septum. It can present with low back pain and radiculopathy, being its presentation within the spinal canal very rare. This paper reports the case of a patient with endometriosis within the spinal canal who presented with chronic low back pain that evolves to sciatica, showing its rarity and relevance as a differential diagnosis of low back pain. Case Report: A 32 years old, female patient, search attendance complaining of low back pain that started 1 year ago. Her pain was in the left S1 territory and had worsening in a cyclical manner. Magnetic resonance [MR] of the lumbosacral region demonstrated small nodular epidural lesion at the S1 level, with well-defined limits, located along the posterior contour of the vertebral body of S1, determining discrete local bone remodeling and bone marrow edema in this topography. With these features, patient was submitted to surgical treatment. The capsule of the cyst was removed and send to pathology examination. Pathology examination revealed endometriosis with focal stroma in fibroconnective tissue with old hemorrhage. With all of this in mind, we can affirm that the case we present is very rare, with few similar publications, and that’s highlight its originality. Conclusion: As illustrated by our case, spine surgeons must be aware of this pathology. Treatment options depend on the patient's symptoms and planning for pregnancy, with total removal of endometrial tissue being the ideal treatment targeted by the neurosurgeon.
| Published in | International Journal of Neurosurgery (Volume 6, Issue 2) |
| DOI | 10.11648/j.ijn.20220602.13 |
| Page(s) | 44-47 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Endometriosis, Spinal Canal, Lumbar Pain
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APA Style
Rodrigues Jr José Carlos, Bortholin da Silva Vithor Ely, Batista de Sousa Aldimar, Aguillar Condori Luís Alberto. (2022). Surgical Treatment of Endometriosis in the Lumbar Spine. International Journal of Neurosurgery, 6(2), 44-47. https://doi.org/10.11648/j.ijn.20220602.13
ACS Style
Rodrigues Jr José Carlos; Bortholin da Silva Vithor Ely; Batista de Sousa Aldimar; Aguillar Condori Luís Alberto. Surgical Treatment of Endometriosis in the Lumbar Spine. Int. J. Neurosurg. 2022, 6(2), 44-47. doi: 10.11648/j.ijn.20220602.13
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Download@article{10.11648/j.ijn.20220602.13,
author = {Rodrigues Jr José Carlos and Bortholin da Silva Vithor Ely and Batista de Sousa Aldimar and Aguillar Condori Luís Alberto},
title = {Surgical Treatment of Endometriosis in the Lumbar Spine},
journal = {International Journal of Neurosurgery},
volume = {6},
number = {2},
pages = {44-47},
doi = {10.11648/j.ijn.20220602.13},
url = {https://doi.org/10.11648/j.ijn.20220602.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20220602.13},
abstract = {Introduction: Endometriosis consists of the presence of endometrial tissue outside the uterus most often in the pelvic peritoneum, ovaries, and rectovaginal septum. It can present with low back pain and radiculopathy, being its presentation within the spinal canal very rare. This paper reports the case of a patient with endometriosis within the spinal canal who presented with chronic low back pain that evolves to sciatica, showing its rarity and relevance as a differential diagnosis of low back pain. Case Report: A 32 years old, female patient, search attendance complaining of low back pain that started 1 year ago. Her pain was in the left S1 territory and had worsening in a cyclical manner. Magnetic resonance [MR] of the lumbosacral region demonstrated small nodular epidural lesion at the S1 level, with well-defined limits, located along the posterior contour of the vertebral body of S1, determining discrete local bone remodeling and bone marrow edema in this topography. With these features, patient was submitted to surgical treatment. The capsule of the cyst was removed and send to pathology examination. Pathology examination revealed endometriosis with focal stroma in fibroconnective tissue with old hemorrhage. With all of this in mind, we can affirm that the case we present is very rare, with few similar publications, and that’s highlight its originality. Conclusion: As illustrated by our case, spine surgeons must be aware of this pathology. Treatment options depend on the patient's symptoms and planning for pregnancy, with total removal of endometrial tissue being the ideal treatment targeted by the neurosurgeon.},
year = {2022}
}
TY - JOUR T1 - Surgical Treatment of Endometriosis in the Lumbar Spine AU - Rodrigues Jr José Carlos AU - Bortholin da Silva Vithor Ely AU - Batista de Sousa Aldimar AU - Aguillar Condori Luís Alberto Y1 - 2022/08/24 PY - 2022 N1 - https://doi.org/10.11648/j.ijn.20220602.13 DO - 10.11648/j.ijn.20220602.13 T2 - International Journal of Neurosurgery JF - International Journal of Neurosurgery JO - International Journal of Neurosurgery SP - 44 EP - 47 PB - Science Publishing Group SN - 2640-1959 UR - https://doi.org/10.11648/j.ijn.20220602.13 AB - Introduction: Endometriosis consists of the presence of endometrial tissue outside the uterus most often in the pelvic peritoneum, ovaries, and rectovaginal septum. It can present with low back pain and radiculopathy, being its presentation within the spinal canal very rare. This paper reports the case of a patient with endometriosis within the spinal canal who presented with chronic low back pain that evolves to sciatica, showing its rarity and relevance as a differential diagnosis of low back pain. Case Report: A 32 years old, female patient, search attendance complaining of low back pain that started 1 year ago. Her pain was in the left S1 territory and had worsening in a cyclical manner. Magnetic resonance [MR] of the lumbosacral region demonstrated small nodular epidural lesion at the S1 level, with well-defined limits, located along the posterior contour of the vertebral body of S1, determining discrete local bone remodeling and bone marrow edema in this topography. With these features, patient was submitted to surgical treatment. The capsule of the cyst was removed and send to pathology examination. Pathology examination revealed endometriosis with focal stroma in fibroconnective tissue with old hemorrhage. With all of this in mind, we can affirm that the case we present is very rare, with few similar publications, and that’s highlight its originality. Conclusion: As illustrated by our case, spine surgeons must be aware of this pathology. Treatment options depend on the patient's symptoms and planning for pregnancy, with total removal of endometrial tissue being the ideal treatment targeted by the neurosurgeon. VL - 6 IS - 2 ER -
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