Open AccessReactive sacroiliitis as late sequela after severe 3elvic inflammatory disease verified by aparoscopy or laparotomy
Author(s) -
Mozas Juan,
Castilla José A.,
Alarcón José L.,
López José M.,
Garcia José L.,
Herruzo Alfonso J.
Publication year - 1994
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349409015772
Subject(s) - medicine , sacroiliitis , sequela , laparotomy , sacroiliac joint , pelvic inflammatory disease , lumbosacral joint , surgery , scintigraphy , laparoscopy , bone scintigraphy , radiology , ankylosing spondylitis
Objective. To investigate the frequency of lumbosacral pains and sacroiliitis as late sequela of severe pelvic inflammatory disease (PID) confirmed by laparoscopy or laparotomy. Design. The sacroiliac joints were examined radiographically and scintigraphically to search for signs of reactive sacroiliitis. Setting. Department of Obstetrics and Gynecology, Hospital General Virgen de las Nieves, Granada, Spain. Patients. Thirty‐five out of 70 women admitted with severe clinical symptoms of PID during a five‐year period. PID was confirmed by laparoscopy or laparotomy. Measurements. The sacroiliac joints were examined radiographically, and bone scintigraphic studies of the pelvic girdle were performed with technetium labelled pyrophosphate. Results. Twenty out of 35 patients reported lumbosacral pain. The bone scintigraphic findings were positive for sacroiliitis in 18 out of 33 patients (54.6%), and the radiographic findings were positive in 11 women (33.3%). Conclusions. Patients with previous severe clinical PID complaining of lumbosacral pains may be offered a bone scintigraphy, a sensitive procedure using low‐dose radiation, to search for early signs of reactive sacroiliitis.