Abstract
The author reports a delayed onset of pain in the lower limb after repeated gynecological pelvic surgery. Forty-nine-year-old woman who underwent laparoscopic assisted transvaginal hysterectomy for myoma uterin and laparoscopic removal of ovarian chocolate cyst within a 4-year period developed pain in the left lower limb. The pain developed three months after the last surgery and gradually worsened. The clinical course and imaging studies suggested that the cause of the pain was nerve damage caused by postoperative scar tissue around the left lumbosacral nerve trunk. She received repeated epidural blocks with a local anesthetic with methylprednisolone and amitriptyline, after which the pain gradually decreased.
