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Accidental Discovery of Pregnancy-associated Septic Sacroilitis on Ultrasound

Authors
 Seung Youn Kang  ;  Hye Sung Kim  ;  Jong Bum Chol  ;  Joo Sun Yun  ;  Hyun Sook Kim  ;  Youn Woo Lee 
Citation
 Korean Journal of Pain, Vol.1(1) : 51-54, 2010-01 
Journal Title
KOREAN JOURNAL OF PAIN
ISSN
 2005-9159 
Issue Date
2010-01
Keywords
pregnancy ; septic sacroilitis ; ultrasound
Abstract
Pain in the sacroiliac joint and lower back is common during pregnancy and postpartum periods. However, pregnancy related septic sacroilitis is very rare. A 37-year-old pregnant woman had a sudden severe lower back pain two days in advance of the delivery. However, she delivered a healthy baby under cesarean section in good condition. Laboratory tests revealed elevated erythrocyte sedimentation and C-reactive protein, but her initial magnetic resonance imaging of lumbar spine and abdominal pelvis computed tomography were normal. Therefore, she was considered having a general acute back pain that many postpartum patients can have. Conservative treatment was received until she was referred to pain clinic. While we were planning pain management under ultrasound guided, we encounterd mass-like lesion on her left sacroiliac joint accidentally. Sacroiliac MRI was taken immediately and It revealed septic sacroilitis. Pregnant with high ESR, CPR with severe localized sacroiliac joint pain should be suspected of pregnancy related septic sacroilitis.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Youn Woo(이윤우)
Choi, Jong Bum(최종범)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178649
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