Gürkan DANIŞAN, Nurmuhammet TAŞ, Gökhan POLAT, Hayri OĞUL

Septik sakroileitin nadir bir komplikasyonu: İliak ven trombozu sonrası gelişen hepatik ve splenik enfarkt

Sakroileit genellikle topallama, kalça ve bel bölgesinde yayılan ağrı, ateş gibi non-spesifik semptomlarla prezente olabilir. Ayırıcı tanılar arasında pelvik abse, lumbar disk herniaayonu ve kalçanın septik artriti olup, yanlış tanı oranı yüksektir. Manyetik rezonans görüntüleme sakroiliak eklemden yayılan enfeksiyonun gösterilmesinde oldukça başarılıdır. Bu olgu sunumunda sakroileiti bulunan bir hastada septik trombofilebite bağlı gelişen hepatik ve splenik enfarkt sunulmuştur.

Anahtar Kelimeler:

Dalak enfarktı, Karaciğer enfarktı, Septik sakroileit, Manyetik rezonans görüntüleme

An unusual complication of septic sacroiliitis: Hepatic and splenic infarction after iliac vein thrombosis

Septic sacroiliitis typically presents with non-specific symptoms such as limping gait, radiating pain in the hip and lumbar region and fever. Differential diagnoses include pelvic abscess, lumbar disc herniation or septic arthritis of the hip, and misdiagnosis is common. Magnetic resonance imagining (MRI) greatly enhanced the ability to determine the extent of infection arising from the sacroiliac joint. We hereby present a rare case of hepatic and splenic infarction secondary to septic thrombophlebitis in a patient with sacroiliitis.

Keywords:

Splenic infarct, Hepatic infarct, Septic sacroiliitis, Magnetic resonance imaging,

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