Win an All-Access Pass!
Become a new yearly Curie (Radium) or Roentgen (Gold) Radiopaedia Supporter during December and be in the running to win one of four 12-month All-Access Passes. Find out more.

Sacroiliitis

Case contributed by Dr Magdalena Chmiel-Nowak

Presentation

Known Crohn disease. Currently lower back pain. ?Sacroiliitis

Patient Data

Age: 30 years
Gender: Female
MRI

Several erosions of both SIJs are visible, mainly at the sacral sides (the largest one visible in the antero-inferior aspect of the left SIJ), with adjacent active inflammatory changes, more pronounced on the left. Marked subchondral sclerosis of the right SIJ.

Intestinal inflammatory changes and free fluid in the pelvis are noted at the periphery of the study.

Case Discussion

Crohn disease often involves other systems and musculoskeletal disorders are the most common extraintestinal manifestations of it, sacroiliitis being one of them. This patient had known Crohn disease and therefore her symptoms prompted the investigation for sacroiliitis.

PlayAdd to Share

Case information

rID: 74662
Published: 5th Apr 2020
Last edited: 7th Jul 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.