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Case 269
Hasan E Kaya1, Ülkü Kerimoğlu1
1From the Department of Radiology, Meram School of Medicine, Necmettin Erbakan University, Beyşehir Street, 42080 Meram, Konya, Turkey.
Radiology
|April 19, 2019
Summary
A 20-year-old woman with lower back pain was diagnosed using advanced imaging. Magnetic resonance imaging (MRI) and computed tomography (CT) scans revealed sacroiliitis and abdominal issues, guiding treatment.
Area of Science:
- Radiology
- Medical Imaging
- Orthopedics
Background:
- A 20-year-old woman presented with a 3-month history of lower back pain.
- Initial laboratory tests and radiography were unremarkable for sacroiliitis.
- Abnormal imaging findings prompted further investigation.
Purpose of the Study:
- To investigate the cause of lower back pain in a young woman.
- To evaluate imaging findings suggestive of sacroiliitis.
- To diagnose associated conditions using advanced imaging techniques.
Main Methods:
- Anteroposterior pelvic radiography and unenhanced pelvic computed tomography (CT) were performed.
- Contrast-enhanced sacroiliac magnetic resonance imaging (MRI) was utilized.
- Contrast-enhanced abdominal CT was conducted for right upper quadrant pain.
Main Results:
- Pelvic radiography and CT showed abnormal findings, leading to sacroiliac MRI.
- Sacroiliac MRI revealed abnormalities consistent with sacroiliitis.
- Abdominal CT identified pathology in the right upper quadrant.
Conclusions:
- Advanced imaging, including MRI and CT, is crucial for diagnosing complex cases of lower back pain.
- The case highlights the utility of multi-modal imaging in identifying sacroiliitis and concurrent abdominal pathology.
- Prompt diagnosis through imaging facilitated appropriate patient management.
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