Clinics in diagnostic imaging (178)

Abstract

A 64-year-old woman with end-stage renal failure secondary to diabetic nephropathy was referred to the emergency department from the dialysis unit following intradialytic hypotension and giddiness. On further questioning, she described a four-day history of dull, non-radiating left fl ank pain. There was no history of trauma or iatrogenic injury such as renal biopsy.On examination, the patient had a palpable left fl ank mass. Admission laboratory serum tests revealed profound anaemia:

An Undiagnosed Sacral Insufficiency Fracture in an Osteoporotic Elderly Woman

“…4,5 These symptoms are non-specific and may mimic other clinical conditions, such as disc disease, recurrence of a local tumour, or metastatic disease. 14,15 Our patient had pain in the right hip accompanying low back pain, and she felt the need to use a cane because she avoided putting weight on her right leg while walking. With all these clinical history and laboratory results, additional imaging methods were requested in line with the clinical suspicion of sacral insufficiency fracture.…”