Intermuscular lipoma of the gluteus muscles compressing the sciatic nerve: an inverted sciatic hernia

Author:

López-Tomassetti Fernández Eudaldo M.,Hernández Juan Ramón Hernández,Esparragon Jose Ceballos,García Angel Turegano,Jorge Valentin Nuñez

Abstract

The authors report the case of a 50-year-old woman with a benign intermuscular lipoma of the gluteus compressing the sciatic nerve in its course through the sciatic notch. This benign soft-tissue tumor extended into the pelvis, displacing the rectum laterally. Resection was necessary to alleviate symptoms and prevent irreversible damage of the nerve. Wide exposure of the piriformis muscle and sciatic nerve via a transgluteal approach allowed safe lesion removal, and thus avoiding a laparotomy to resect the intrapelvic extension of the tumor. This report features a curious case of soft-tissue tumor growth across the sciatic foramen forming an inverted sciatic hernia. The authors' proposed approach was simple and safe and avoided a laparotomy.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Genetics,Animal Science and Zoology

Cited by 14 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. A rare case report of inverse sciatic hernia unveiling as a lipoma;International Journal of Abdominal Wall and Hernia Surgery;2024-07-24

2. Giant gluteal lipoma presenting as sciatic hernia: a case description;Quantitative Imaging in Medicine and Surgery;2024-06

3. Small pelvis lipoma spreading to the gluteal region;Khirurgiya. Zhurnal im. N.I. Pirogova;2024

4. Simultaneous excision of pelvic lipoma and robot-assisted radical prostatectomy;BMJ Case Reports;2023-03

5. Sciatic Hernias;Atlas of Sciatica;2023

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