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Sacral edema: computed tomographic and anatomical observations

M Cooper1, J C Hacking, A K Dixon

  • 1Department of Radiology, Addenbrooke's Hospital, Cambridge, United Kingdom.

Clinical Anatomy (New York, N.Y.)
|January 1, 1995
PubMed
Summary
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Radiological confirmation of sacral edema is now possible using computed tomography (CT). This study reveals edema fluid accumulates in the lumbar region, challenging the term "sacral" edema.

Area of Science:

  • Radiology
  • Anatomy
  • Clinical Medicine

Background:

  • Sacral edema is a recognized clinical sign lacking radiological confirmation.
  • The precise anatomical description of sacral edema has been insufficient.

Purpose of the Study:

  • To establish a method for radiological confirmation of sacral edema.
  • To anatomically describe the location of fluid accumulation in sacral edema.

Main Methods:

  • Prospective study of 100 patients undergoing abdominopelvic computed tomography (CT).
  • Correlation of CT findings with clinical examination for sacral edema.

Main Results:

  • Computed tomography (CT) identified radiological evidence of edema in 17 out of 100 patients.

Related Experiment Videos

  • Edema fluid was found to accumulate in an intermediate fibrous tissue plane within the subcutaneous fat, predominantly over the lumbar spine, not the sacrum.
  • Discrepancies were noted between clinical and CT findings in some patients.

    • Conclusions:

    • Computed tomography (CT) can provide radiological evidence of sacral edema.
    • The term "sacral edema" may be a misnomer as fluid accumulation is centered over the lumbar spine.
    • Further anatomical understanding of this condition is provided.