{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:48:21Z","timestamp":1787237301790,"version":"build-2736575974"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,22]]},"abstract":"<jats:p>Bilateral obturator nerve injury during pelvic surgery is an infrequent cause of lower limb paraparesis. We report the case of a 45-year-old woman with a large uterine leiomyoma who underwent simple total hysterectomy and bilateral salpingectomy. At 24\u2005h after the surgery, the patient noticed loss of muscle strength when adducting both legs. She had no problem with other movements and no sensory or sphincter abnormalities. Neurological examination confirmed that there was loss of strength only in the adductor muscles, with preserved sensory function and reflexes, suggesting bilateral obturator nerve involvement. Pelvic MRI showed a small postsurgical haematoma in the Douglas recess, but far from the obturator nerves. 2\u2005weeks later, electromyography showed positive sharp waves and low motor unit recruitment in the adductor magnus muscles, confirming acute, bilateral obturator nerve neuropathy. The few cases of bilateral obturator neuropathy that have been reported were mostly related to abdominopelvic interventions.<\/jats:p>","DOI":"10.1136\/bcr-2015-212660","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T06:02:34Z","timestamp":1450677754000},"page":"bcr2015212660","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare cause of paraparesis: bilateral obturator neuropathy after hysterosalpingectomy"],"prefix":"10.1136","volume":"2015","author":[{"given":"Roberto","family":"L\u00f3pez-Blanco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"Mej\u00eda-Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Pablo","family":"de Fuenmayor-Fern\u00e1ndez de la Hoz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Ruiz-Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,12,21]]},"reference":[{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.1","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(91)90014-G"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.2","first-page":"721","article-title":"Case of bilateral obturator neuropathy after caesarean section","volume":"60","author":"Hakoiwa","year":"2011","journal-title":"Masui"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.3","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000129"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.4","first-page":"46","article-title":"Bilateral obturator nerve injuries during urologic surgery","volume":"69","author":"Pellegrino","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.5","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200010000-00010"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.6","first-page":"33","article-title":"Critical sites of entrapment of the posterior division of the obturator nerve: anatomical considerations","volume":"54","author":"Kumka","year":"2010","journal-title":"J Can Chiropr Assoc"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.7","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e3181933b51"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.8","first-page":"469","article-title":"Postpartum obturator neurapraxia. A case report","volume":"48","author":"Haas","year":"2003","journal-title":"J Reprod Med"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.9","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/66.4.237"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.10","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1994.1108"},{"key":"2025042707543956000_2015.dec20_1.bcr2015212660.11","unstructured":"Rouvi\u00e8re H, Delmas A. Anatom\u00eda Humana. Descriptiva, Topogr\u00e1fica y Funcional. Barcelona: Masson; 2002."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-212660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:54:48Z","timestamp":1745751288000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-212660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,21]]},"references-count":11,"alternative-id":["10.1136\/bcr-2015-212660"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-212660","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,21]]}}}