Ankylosing spondylitis

Case contributed by Dr Henry Knipe

Presentation

Admitted with sepsis.

Patient Data

Age: 75 years
Gender: Male
X-ray

Obscuration of the left hemidiaphragm silhouette. Unremarkable cardiomediastinal contour. "Bamboo spine" consistent with ankylosing spondylitis.

The patient's source of sepsis was diagnosed as an obstructive pyelonephritis. 

Fluoroscopy

Preliminary shot from a nephrostogram demonstrates changes of ankylosing spondylitis with bamboo spine, dagger sign and sacroiliac joint ankylosis. 

Case Discussion

Ankylosing spondylitis can often be an incidental finding, especially in older men. 

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Case information

rID: 46748
Published: 17th Jul 2016
Last edited: 5th May 2020
Inclusion in quiz mode: Included