Un sacré sacrum!

  • Dhia Kaffel
  • Amal Ben Ouhiba
  • Wafa Hamdi
  • Kaouther Maatallah
  • Hend Riahi
  • Mouna Chelly Bouaziz
  • Mohamed Fethi Ladab
  • Mohamed Montacer Kchir
Keywords: Post-fracture osteolysis, sacrum, pseudotumor

Abstract

Post-fracture osteolysis of the sacrum is a rare radiological entity mimicking a serious disease. We report the case of a female patient lost to follow-up after biopsy indication. She presented again after 4 months. During multi-stage bone registration prior to the biopsy, we noticed a change in the appearance of the lesion, associating a linear image (corresponding to the fracture line) with condensation at the edges. Patient’s evolution was good after a period of rest at 6-months follow-up. This study highlights the atypical imaging appearance and the diagnostic difficulties associated with post-fracture osteolysis of the sacrum. The particularity of our patient is that symptoms were masked by disc-related nerve root impingement with right L5 root and that the sacrum osteolysis was unexpectedly discovered on CT scan.

Keywords: Post-fracture osteolysis, sacrum, pseudotumor

Author Biographies

Dhia Kaffel
Service de Rhumatologie, Institut Mohamed Kassab, Mannouba, Tunisie
Amal Ben Ouhiba
Service de Rhumatologie, Institut Mohamed Kassab, Mannouba, Tunisie
Wafa Hamdi
Service de Rhumatologie, Institut Mohamed Kassab, Mannouba, Tunisie
Kaouther Maatallah
Service de Rhumatologie, Institut Mohamed Kassab, Mannouba, Tunisie
Hend Riahi
Service de Radiologie, Institut Mohamed Kassab, Mannouba, Tunisie
Mouna Chelly Bouaziz
Service de Radiologie, Institut Mohamed Kassab, Mannouba, Tunisie
Mohamed Fethi Ladab
Service de Radiologie, Institut Mohamed Kassab, Mannouba, Tunisie
Mohamed Montacer Kchir
Service de Rhumatologie, Institut Mohamed Kassab, Mannouba, Tunisie
Published
2019-02-18
Section
Articles

Journal Identifiers


eISSN: 1937-8688