1. Atypical Unilateral Sacroiliitis Secondary to Mechanical Stress Injury
- Author
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Fouad Fayad, Tonine Younan-Farah, Mohamed Zibawi, and Leila Abs
- Subjects
Adult ,Male ,Systemic disease ,medicine.medical_specialty ,Physical Exertion ,Pain ,Stress injury ,030218 nuclear medicine & medical imaging ,Imaging modalities ,Diagnosis, Differential ,03 medical and health sciences ,0302 clinical medicine ,Biopsy ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Sacroiliitis ,Stage (cooking) ,030203 arthritis & rheumatology ,Sacroiliac joint ,medicine.diagnostic_test ,business.industry ,Sacroiliac Joint ,medicine.disease ,Magnetic Resonance Imaging ,medicine.anatomical_structure ,Musculoskeletal Radiology ,Etiology ,Buttocks ,Radiology ,Stress, Mechanical ,business ,Tomography, X-Ray Computed - Abstract
We report for the first time a case of atypical unilateral sacroiliitis secondary to mechanical stress injury. Unilateral sacroiliitis can be caused by a variety of etiologies. The first diagnosis to rule out is infection since it requires urgent treatment to avoid its serious consequences. Spondyloarthritis can be manifested by unilateral sacroiliitis in its early stage. Sacral fractures should always be looked for on the imaging modalities performed. In our case, no signs of infection or systemic disease were found. No fracture was seen on the imaging examinations and we had negative cultures on the computed tomography-guided biopsy realized. A history of mechanical stress was the only clue found suggesting the diagnosis of a probable stress related sacroiliitis. A thorough review of the literature will be provided stating the different causes of sacroiliitis described till now, with discussion of this new reported entity.
- Published
- 2020