Gout of the olecranon bursa

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Pain and swelling of the left elbow

Patient Data

Age: 65 years
Gender: Male
x-ray

X-rays of the left elbow demonstrate a soft tissue swelling overlying the olecranon. It is somewhat hyperdense, without evidence of subjacent bony abnormality.

Case Discussion

Aspiration (under ultrasound guidance) demonstrated turbid fluid which was confirmed to contain abundant urate crystals consistent with gout

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