• Marcello Ceccaroni, Roberto Clarizia, Stefano Cosma, Anna Pesci, Giovanni Pontrelli, and Luca Minelli.
• *Gynecologic Oncology Division, International School of Surgical Anatomy, European Gynaecology Endoscopy School, Negrar, Verona, Italy.
• J Spinal Disord Tech. 2011 Oct 1;24(7):474-8.

Study DesignCase report.ObjectiveTo show by case presentation, the potential for endometriosis to infiltrate the somatic nerves causing lower extremity neuropathic pain and to discuss possible surgical remedy and the effectiveness of laparoscopic neurolysis.Summary Of Background DataPelvic endometriosis may infiltrate the pelvic wall and somatic nerves causing severe neuropathic symptoms.MethodsWe report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain with concomitant monolateral right sciatica because of deep infiltrating pelvic endometriosis involving the sciatic nerve and pelvic wall.ResultsThe patient was treated by laparoscopic neurolysis of the involved somatic nerves according to the Possover operation.ConclusionsEndometriosis is a chronic inflammatory disease, potentially infiltrating the somatic nerves. Laparoscopic neurolysis is a therapeutic aetiological therapy, which can relieve neurological symptoms deriving from nerve infiltration/compression.

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