Endometriosis in the presacral nerve

Objective: The authors report a case of extremely aggressive endometriosis involving a 32-year-old woman. Methods: Different types of medication were used and various surgical procedures applied in order to reduce the clinica l signs and symptoms. Among the surgical procedures employed was presacral neurectomy when endometriosis was identified in the presacral nerve. Result s: Receptor determination in the surgical piece was negative. Conclusions: The etiopathogenic and therapeutic aspects of this process are discussed. ( C) 1999 International Federation of Gynecology and Obstetrics.